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General NPI Number Information
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NPI Number | 1740381888
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Entity Type | Individual
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Provider Name | SONAL PATEL ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 1824 KING ST SUITE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4735
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Country | US
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Telephone | 904-388-1820
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Fax | 904-388-1827
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Provider Business Mailing Address
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Address Line | 562 PARK ST SUITE 310
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City | JACKSONVILLE
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State | FL
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Zip | 32204-2918
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Country | US
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Telephone | 904-633-2021
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Fax | 904-633-9793
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9197829
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License Number State | FL
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