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General NPI Number Information
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NPI Number | 1578051801
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Entity Type | Individual
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Provider Name | SONYA BONITA WEAVER PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2430 SOUTHLAND DR
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City | CHESTER
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State | VA
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Zip | 23831-2354
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Country | US
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Telephone | 804-439-2206
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Fax | 804-743-2591
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Provider Business Mailing Address
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Address Line | 4540 COCHISE TRL
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23237-2559
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Country | US
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Telephone | 804-439-2206
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Fax | 858-365-5616
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024192291
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License Number State | VA
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