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General NPI Number Information
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NPI Number | 1558729590
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Entity Type | Individual
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Provider Name | SONDY CADEAU
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Gender | Male
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 5971 PARKWAY NORTH BLVD STE C
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City | CUMMING
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State | GA
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Zip | 30040-8842
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Country | US
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Telephone | 404-388-3909
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Fax | 678-712-1945
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Provider Business Mailing Address
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Address Line | 1108 WOODIRON DR
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City | DULUTH
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State | GA
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Zip | 30097-7494
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Country | US
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Telephone | 908-456-6317
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05669600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW006477
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License Number State | GA
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