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General NPI Number Information
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NPI Number | 1831472695
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Entity Type | Individual
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Provider Name | SONYA K TING
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Gender | Female
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 10/22/2011
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Provider Practice Location Address
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Address Line | 1607 BRIDGE STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19124-1637
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Country | US
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Telephone | 215-537-0169
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Fax |
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Provider Business Mailing Address
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Address Line | 404 BRISTER ROAD
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City | BENSALEM
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State | PA
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Zip | 19020
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Country | US
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Telephone | 215-533-4608
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPO44139L
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License Number State | PA
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