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NPI 1255983920

NPI 1255983920 : DEVEN VASANTLAL SONI DPT, MS, CSCS : LOVINGTON, NM

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General NPI Number Information
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    NPI Number           |    1255983920
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    Entity Type          |    Individual 
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    Provider Name        |    DEVEN VASANTLAL SONI DPT, MS, CSCS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2019
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    1600 N MAIN AVE 
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    City                 |    LOVINGTON
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    State                |    NM
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    Zip                  |    88260-2871
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    Country              |    US
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    Telephone            |    575-396-5227
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    Fax                  |    575-396-7193
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Provider Business Mailing Address
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    Address Line         |    2915 N SABRITA CIR 
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    City                 |    HOBBS
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    State                |    NM
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    Zip                  |    88240-2144
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    Country              |    US
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    Telephone            |    216-854-5958
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5522
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    License Number State |    NM
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