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NPI 1639978562

NPI 1639978562 : SONIA SEN : SAINT PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1639978562
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    Entity Type          |    Individual 
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    Provider Name        |    SONIA SEN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/12/2025
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    Last Update Date     |    03/12/2025
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Provider Practice Location Address
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    Address Line         |    6465 1ST AVE S 
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    City                 |    SAINT PETERSBURG
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    State                |    FL
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    Zip                  |    33707-1301
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    Country              |    US
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    Telephone            |    727-499-5880
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5414 WAYFARER AVE 
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    City                 |    APOLLO BEACH
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    State                |    FL
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    Zip                  |    33572-2793
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    Country              |    US
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    Telephone            |    469-919-8257
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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