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General NPI Number Information
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NPI Number | 1265611966
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Entity Type | Individual
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Provider Name | SONJA RENAE BAER PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 6600 UNIVERSITY PKWY STE 302
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City | SARASOTA
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State | FL
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Zip | 34240-9048
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Country | US
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Telephone | 941-800-5001
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Fax | 941-800-5012
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Provider Business Mailing Address
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Address Line | 6000 UNIVERSITY AVE STE 450
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8229
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Country | US
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Telephone | 515-241-2000
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Fax | 515-241-2005
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9118914
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001863
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License Number State | IA
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