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General NPI Number Information
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NPI Number | 1548565252
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Entity Type | Individual
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Provider Name | SONIA SALIM DAHER NP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 14114 BUSINESS CENTER DR STE D
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City | MORENO VALLEY
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State | CA
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Zip | 92553-9113
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Country | US
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Telephone | 951-697-1150
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Fax | 951-697-1189
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Provider Business Mailing Address
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Address Line | 14114 BUSINESS CENTER DR STE D
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City | MORENO VALLEY
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State | CA
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Zip | 92553-9113
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Country | US
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Telephone | 951-697-1150
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Fax | 951-697-1189
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | NP11143
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | NP11143
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License Number State | CA
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