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General NPI Number Information
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NPI Number | 1710920855
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Entity Type | Individual
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Provider Name | SCOTT H. SORENSEN P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 745 E GUADALUPE RD
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City | TEMPE
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State | AZ
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Zip | 85283-2911
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Country | US
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Telephone | 480-618-0123
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Fax | 520-300-8051
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Provider Business Mailing Address
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Address Line | PO BOX 746093
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City | ATLANTA
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State | GA
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Zip | 30374-6093
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1274
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9819
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1274
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License Number State | NE
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