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NPI Code Detail

MEDICARE: SONAI K. THARMAR MS CCC SLP

MEDICARE: SONAI K. THARMAR MS CCC SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7538NC

General Provider Information

NPI Number : 1407013337
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONAI K. THARMAR MS CCC SLP
Provider Business Mailing Address
First Line : 1007 HOLLY FIELD DRIVE
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560
Country : US
Telephone Number : 919-336-3012
Fax Number :
Provider Business Practice Location Address
First Line : 616 WADE AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27605-1237
Country : US
Telephone Number : 919-828-6251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 05/19/2008

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