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General NPI Number Information
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NPI Number | 1558959932
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Entity Type | Individual
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Provider Name | MATTHEW OLIVER SOENTGEN NP
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Gender | Male
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Dates
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Enumeration Date | 01/01/2021
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 6336 US 64
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City | MORGANTON
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State | NC
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Zip | 28655-7141
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Country | US
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Telephone | 828-430-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 111 OAKDALE DR
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City | MORGANTON
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State | NC
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Zip | 28655-9658
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Country | US
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Telephone | 941-416-6565
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5013926
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License Number State | NC
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