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General NPI Number Information
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NPI Number | 1083929749
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Entity Type | Organization
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Legal Business Name | SONNENBERG CONSULTANTS LLC
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 2412 65TH DR
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City | FRANKSVILLE
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State | WI
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Zip | 53126-9103
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Country | US
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Telephone | 414-416-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 2412 65TH DR
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City | FRANKSVILLE
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State | WI
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Zip | 53126-9103
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Country | US
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Telephone | 414-416-4427
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FARRAH LYNN SONNENBERG
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Credential |
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Telephone | 414-416-4427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1-09-5663
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-08-4869
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License Number State | IL
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