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General NPI Number Information
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NPI Number | 1336579093
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Entity Type | Organization
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Legal Business Name | DR. SONYA M CLARK PC
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Dates
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Enumeration Date | 11/16/2013
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1650 SKYLYN DR STE 380
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City | SPARTANBURG
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State | SC
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Zip | 29307-1081
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Country | US
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Telephone | 864-308-8668
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Fax | 864-640-6848
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Provider Business Mailing Address
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Address Line | 1650 SKYLYN DR STE 380
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City | SPARTANBURG
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State | SC
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Zip | 29307-1087
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Country | US
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Telephone | 864-308-8668
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Fax |
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Authorized Official
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Title or Position | ORTHOPEDIC SURGEON
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Name | DR. SONYA MICIAK CLARK
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Credential | D.O.
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Telephone | 864-308-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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