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General NPI Number Information
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NPI Number | 1316655434
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Entity Type | Individual
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Provider Name | SONAM SETHI
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 3045 W REPUBLIC RD
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City | SPRINGFIELD
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State | MO
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Zip | 65807-4682
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Country | US
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Telephone | 417-593-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 605 VARSITY LN BEAR
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City | BEAR
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State | DE
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Zip | 19701
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Country | US
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Telephone | 314-387-1422
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2021034462
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License Number State | MO
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