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General NPI Number Information
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NPI Number | 1487013629
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Entity Type | Individual
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Provider Name | ADETUTU LATEEFAT SONEYE NP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 118 DIXON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10303-2804
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Country | US
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Telephone | 516-234-1183
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Fax |
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Provider Business Mailing Address
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Address Line | 243 HARDING BLVD
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City | MATAWAN
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State | NJ
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Zip | 07747-2912
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Country | US
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Telephone | 516-234-1183
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Fax | 855-915-5040
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NRJ14984600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NRJ14984600
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License Number State | NJ
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