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General NPI Number Information
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NPI Number | 1841965738
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Entity Type | Organization
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Legal Business Name | JACQUELINE SONCEAU PLLC
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1610 VAUGHN RD STE J
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City | BURLINGTON
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State | NC
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Zip | 27217-2919
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Country | US
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Telephone | 336-226-2525
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Fax | 336-226-0744
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Provider Business Mailing Address
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Address Line | 1610 VAUGHN RD STE J
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City | BURLINGTON
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State | NC
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Zip | 27217-2919
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Country | US
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Telephone | 336-226-2525
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Fax | 336-226-0744
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TIFFANY E HIGHTOWER
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Credential |
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Telephone | 336-226-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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