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General NPI Number Information
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NPI Number | 1942926555
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Entity Type | Organization
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Legal Business Name | MEHUL SONI MD LLC
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 163 S RANDALL RD
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City | ELGIN
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State | IL
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Zip | 60123-5551
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Country | US
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Telephone | 847-406-1007
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Fax |
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Provider Business Mailing Address
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Address Line | 7 TURNING SHORE DR
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City | SOUTH BARRINGTON
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State | IL
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Zip | 60010-9597
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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 | OWNER
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Name | MEHUL PRAVIN SONI
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Credential | MD
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Telephone | 248-396-8547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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