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General NPI Number Information
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NPI Number | 1083236129
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Entity Type | Individual
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Provider Name | SONYA ELIZABETH WRIGHT AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | 44055 RIVERSIDE PKWY STE 208
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City | LEESBURG
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State | VA
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Zip | 20176-5176
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Country | US
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Telephone | 703-687-3601
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Fax | 703-687-3602
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Provider Business Mailing Address
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Address Line | 25969 FLINTONBRIDGE DR
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City | SOUTH RIDING
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State | VA
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Zip | 20152-3643
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Country | US
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Telephone | 703-327-4140
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AG05200001
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License Number State | VA
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