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General NPI Number Information
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NPI Number | 1114809555
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Entity Type | Individual
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Provider Name | ARI SOFER PTA
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Gender | Male
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2730 WILSHIRE BLVD STE 533
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City | SANTA MONICA
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State | CA
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Zip | 90403-4751
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Country | US
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Telephone | 310-273-0877
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MONTEREY AVE
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City | TEANECK
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State | NJ
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Zip | 07666-5546
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Country | US
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Telephone | 201-232-1501
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A6096
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 40QB00405200
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License Number State | NJ
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