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General NPI Number Information
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NPI Number | 1023013976
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Entity Type | Individual
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Provider Name | JIRI DAVID SONEK MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1 WYOMING ST BERRY BLDG, GROUND FL
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City | DAYTON
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State | OH
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Zip | 45409-2722
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Country | US
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Telephone | 937-208-2516
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Fax | 937-208-6124
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Provider Business Mailing Address
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Address Line | 1 WYOMING ST BERRY BLDG, GROUND FL
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City | DAYTON
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State | OH
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Zip | 45409-2722
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Country | US
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Telephone | 937-208-2516
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Fax | 937-208-6124
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 01049764A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 35049770
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License Number State | OH
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