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General NPI Number Information
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NPI Number | 1336965185
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Entity Type | Organization
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Legal Business Name | SONI FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2705 MAGUIRE RD
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City | OCOEE
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State | FL
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Zip | 34761-4797
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Country | US
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Telephone | 863-588-4775
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Fax | 863-422-7664
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Provider Business Mailing Address
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Address Line | PO BOX 1568
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City | DAVENPORT
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State | FL
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Zip | 33836-1568
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Country | US
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Telephone | 863-588-4775
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Fax | 863-588-4775
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMBICA SONI
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Credential | MD
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Telephone | 863-588-4775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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