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NPI 1255923462

NPI 1255923462 : NAOMI SONCAG CD, CPD, CBC, CBED : ORANGE PARK, FL

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General NPI Number Information
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    NPI Number           |    1255923462
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    Entity Type          |    Individual 
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    Provider Name        |    NAOMI SONCAG CD, CPD, CBC, CBED
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/09/2021
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    Last Update Date     |    08/02/2021
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Provider Practice Location Address
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    Address Line         |    531 PADDOCK LN 
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    City                 |    ORANGE PARK
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    State                |    FL
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    Zip                  |    32073
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    Country              |    US
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    Telephone            |    407-312-9888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    531 PADDOCK LN 
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    City                 |    ORANGE PARK
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    State                |    FL
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    Zip                  |    32073
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    Country              |    US
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    Telephone            |    904-703-6249
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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        |    174N00000X
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    Taxonomy Name        |    Lactation Consultant (Non-RN)
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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        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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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        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    
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