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General NPI Number Information
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NPI Number | 1124651898
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Entity Type | Individual
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Provider Name | SONYA LYNNE KLEIN MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1577 NORTHEAST PKWY
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City | BROOKHAVEN
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State | GA
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Zip | 30324
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Country | US
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Telephone | 404-785-4363
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Fax |
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Provider Business Mailing Address
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Address Line | 9306 COBALT WAY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-9415
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Country | US
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Telephone | 678-783-9597
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN257442
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License Number State | GA
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