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General NPI Number Information
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NPI Number | 1184915720
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Entity Type | Individual
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Provider Name | SONNET BINGHAM AGUIRRE RDN, PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/01/2011
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2049 E 100TH ST
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City | CLEVELAND
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State | OH
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Zip | 44106-2104
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Country | US
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Telephone | 216-791-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone |
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA065910
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.009228RX
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License Number State | OH
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