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General NPI Number Information
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NPI Number | 1164675096
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Entity Type | Organization
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Legal Business Name | SONYA WOLFF SORENSEN, DO, PA
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 502 W 10TH ST
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City | DALLAS
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State | TX
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Zip | 75208-4720
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Country | US
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Telephone | 214-948-9286
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Fax | 972-283-0282
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Provider Business Mailing Address
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Address Line | 502 W 10TH ST
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City | DALLAS
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State | TX
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Zip | 75208-4720
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Country | US
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Telephone | 214-948-9286
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Fax | 972-283-0282
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SONIA L SORENSEN
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Credential | DO
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Telephone | 214-948-9286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | GO151
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License Number State | TX
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