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General NPI Number Information
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NPI Number | 1811248024
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Entity Type | Individual
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Provider Name | DANIEL ALLEN SONDAY MS, ATC, OTC
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Gender | Male
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 3580 ARCADE ST
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-7135
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Country | US
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Telephone | 651-968-5189
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Fax | 651-714-9106
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Provider Business Mailing Address
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Address Line | 1185 TOWN CENTRE DR SUITE 100
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City | EAGAN
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State | MN
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Zip | 55123-1187
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2413
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2413
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License Number State | MN
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