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General NPI Number Information
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NPI Number | 1114700176
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Entity Type | Individual
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Provider Name | SOPHIA WOLKE MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 11083 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-1409
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Country | US
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Telephone | 513-674-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 546 LARAMIE TRL
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City | CINCINNATI
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State | OH
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Zip | 45215-2504
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Country | US
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Telephone | 937-572-7473
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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