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General NPI Number Information
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NPI Number | 1992230676
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Entity Type | Organization
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Legal Business Name | SONISK PAIN MANAGEMENT INC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 1431 WARNER AVE SUITE D
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City | TUSTIN
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State | CA
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Zip | 92780-6444
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Country | US
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Telephone | 949-734-4335
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Fax |
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Provider Business Mailing Address
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Address Line | 9940 TALBERT AVE SUITE 101
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5153
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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 | NEIL R SONI
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Credential | MD
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Telephone | 949-734-4335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A97825
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License Number State | CA
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