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General NPI Number Information
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NPI Number | 1245894419
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Entity Type | Individual
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Provider Name | SONYA BRIELLE KING
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 3031 AIRPORT-PULLING RD N
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City | NAPLES
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State | FL
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Zip | 34105
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Country | US
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Telephone | 239-330-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5934 PREMIER WAY UNIT 2333
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City | NAPLES
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State | FL
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Zip | 34109-7885
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Country | US
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Telephone | 609-234-8546
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11003592
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License Number State | FL
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