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General NPI Number Information
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NPI Number | 1538988696
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Entity Type | Individual
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Provider Name | SONJA MARIA GERDING
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1145 STURGIS RD
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92278
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Country | US
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Telephone | 760-830-2752
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Fax | 760-830-2882
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Provider Business Mailing Address
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Address Line | 76525 INDIAN TRL
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277-7215
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Country | US
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Telephone | 760-567-8847
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Fax |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 747893
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License Number State | CA
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