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General NPI Number Information
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NPI Number | 1578964037
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Entity Type | Individual
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Provider Name | SONJA LEA STICE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 2810 PLAZA AVE
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City | HAYS
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State | KS
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Zip | 67601-1924
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Country | US
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Telephone | 785-302-1090
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Fax |
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Provider Business Mailing Address
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Address Line | 670 J RD
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City | STOCKTON
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State | KS
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Zip | 67669-8821
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Country | US
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Telephone | 785-302-1090
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Fax | 785-588-4623
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14-120877-032
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 114204
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2022003048
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2022003048
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-78895-032
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License Number State | KS
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