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General NPI Number Information
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NPI Number | 1528389947
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Entity Type | Individual
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Provider Name | SONJA MARTINA STEFANIE WHITAKER M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 13139 SORRENTO RD
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City | PENSACOLA
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State | FL
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Zip | 32507-8777
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Country | US
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Telephone | 850-416-0020
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Fax | 850-492-6340
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Provider Business Mailing Address
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Address Line | PO BOX 2699 ATTN: SHMG/HPE
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City | PENSACOLA
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State | FL
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Zip | 32513-2699
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Country | US
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Telephone | 850-416-0020
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Fax | 850-492-6340
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01072525A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME125279
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License Number State | FL
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