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General NPI Number Information
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NPI Number | 1598170565
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Entity Type | Individual
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Provider Name | SONIA DOS SANTOS PSY.D., MS
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Gender | Female
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 1990 HARMON AVE
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City | COLUMBUS
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State | OH
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Zip | 43223-3829
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Country | US
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Telephone | 614-445-5960
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Fax | 614-445-7053
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Provider Business Mailing Address
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Address Line | 3504 SHATTUCK AVE
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City | COLUMBUS
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State | OH
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Zip | 43220-5038
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Country | US
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Telephone | 614-340-1562
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5455
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License Number State | OH
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