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General NPI Number Information
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NPI Number | 1104053834
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Entity Type | Individual
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Provider Name | AMELIA ANN SORENSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2009
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1535 RIVER PARK DR
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City | SACRAMENTO
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State | CA
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Zip | 95815-4601
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Country | US
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Telephone | 916-286-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 4860 Y ST STE 3800
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-0902
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2015023170
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | A131161
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License Number State | CA
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