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General NPI Number Information
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NPI Number | 1841201753
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Entity Type | Individual
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Provider Name | OLUYEMISI ADEOLA SONOIKI M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 6525 3RD ST STE 106
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City | ROCKLEDGE
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State | FL
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Zip | 32955-5751
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Country | US
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Telephone | 321-307-9400
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Fax | 321-622-3036
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Provider Business Mailing Address
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Address Line | 6525 3RD ST STE 106
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City | ROCKLEDGE
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State | FL
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Zip | 32955-5751
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Country | US
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Telephone | 321-307-9400
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Fax | 321-622-3036
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME94933
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME94933
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License Number State | FL
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