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General NPI Number Information
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NPI Number | 1952255267
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Entity Type | Individual
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Provider Name | SOUN DAI
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Gender | Male
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 782 HIGHLAND AVE
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City | VINE GROVE
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State | KY
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Zip | 40175-1518
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Country | US
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Telephone | 585-668-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 782 HIGHLAND AVE
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City | VINE GROVE
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State | KY
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Zip | 40175-1518
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Country | US
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Telephone | 585-668-2006
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | BBA444
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License Number State | KY
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