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General NPI Number Information
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NPI Number | 1730110917
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Entity Type | Organization
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Legal Business Name | SONI & SONI M.D. P.C.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | MEDICAL ARTS BLDG
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City | ETOWAH
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State | TN
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Zip | 37331-0500
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Country | US
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Telephone | 423-263-1147
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Fax | 423-263-5704
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Provider Business Mailing Address
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Address Line | PO BOX 500 109 GRADY RD SUITE B
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City | E TOWAH
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State | TN
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Zip | 37331
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Country | US
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Telephone | 423-263-1147
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Fax | 423-263-5704
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARISH B SONI
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Credential | MD
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Telephone | 423-263-1147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0000009198
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0000009198
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License Number State | TN
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