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General NPI Number Information
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NPI Number | 1851026512
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Entity Type | Individual
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Provider Name | ELIZABETH NOELLE SONGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1152 KINGS HIGHWAY CUTOFF
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City | FAIRFIELD
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State | CT
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Zip | 06824-5271
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Country | US
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Telephone | 877-925-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 548 DRUMM RD
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City | WEBSTER
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State | NY
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Zip | 14580-1577
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 5848
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License Number State | CT
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