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General NPI Number Information
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NPI Number | 1710251699
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Entity Type | Individual
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Provider Name | NITA LEAH SONNENSCHEIN LMT
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Gender | Female
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 407 CENTERPOINTE CIR SUITE 1647
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-3456
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Country | US
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Telephone | 407-761-9092
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Fax |
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Provider Business Mailing Address
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Address Line | 478 E ALTAMONTE DR 269
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4628
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Country | US
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Telephone | 407-761-9092
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA62906
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License Number State | FL
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