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General NPI Number Information
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NPI Number | 1144766619
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Entity Type | Individual
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Provider Name | SOPHIA GISCOMBE
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Gender | Female
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 840 US HIGHWAY 1 STE 120
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3858
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Country | US
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Telephone | 561-776-7300
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Fax | 561-776-8727
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Provider Business Mailing Address
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Address Line | 2330 S CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-7608
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Country | US
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Telephone | 561-432-5849
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Fax | 561-283-0677
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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 | ARNP9338099
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License Number State | FL
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