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General NPI Number Information
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NPI Number | 1699016915
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Entity Type | Individual
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Provider Name | SONYA NUDELMAN
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Gender | Female
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 1447 YORK RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-6017
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Country | US
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Telephone | 410-339-5659
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Fax | 410-339-5650
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Provider Business Mailing Address
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Address Line | 3509 COVENTRY CT DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21042
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Country | US
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Telephone | 410-461-8364
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12143
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License Number State | MD
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