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General NPI Number Information
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NPI Number | 1437291788
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Entity Type | Individual
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Provider Name | SONJA M MARTIN YOUNG APRN, CNM, ND
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3959 BEN WALTERS LN
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City | HOMER
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State | AK
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Zip | 99603-7707
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Country | US
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Telephone | 907-299-1800
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Fax | 907-235-8346
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Provider Business Mailing Address
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Address Line | 3959 BEN WALTERS LN
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City | HOMER
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State | AK
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Zip | 99603-7707
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Country | US
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Telephone | 907-235-3436
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Fax | 907-235-8346
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 20077
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 726
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License Number State | AK
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