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General NPI Number Information
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NPI Number | 1982061826
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Entity Type | Individual
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Provider Name | SONYA SUE ORR NP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 775 POLE LINE RD W
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City | TWIN FALLS
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State | ID
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Zip | 83301-5814
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Country | US
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Telephone | 208-814-8200
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Fax | 208-814-1901
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Provider Business Mailing Address
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Address Line | PO BOX 640
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City | BOISE
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State | ID
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Zip | 83701-0640
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | N-39477
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License Number State | ID
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