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General NPI Number Information
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NPI Number | 1689909798
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Entity Type | Individual
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Provider Name | SONI PRASAD BDS, MS, FACP, MBA
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Gender | Female
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 140 DENTAL CIRCLE BRAUER HALL RM-343
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City | CHAPEL HILL
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State | NC
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Zip | 27599-3402
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Country | US
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Telephone | 919-537-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 140 DENTAL CIR
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City | CHAPEL HILL
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State | NC
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Zip | 27599-5021
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Country | US
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Telephone |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 13530
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License Number State | NC
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