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General NPI Number Information
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NPI Number | 1154044683
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Entity Type | Individual
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Provider Name | SONDRA LEA MOJICA
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 4800 MAIN STREET
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City | FRISCO
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State | TX
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Zip | 75033
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Country | US
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Telephone | 972-377-2261
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3132
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City | COPPELL
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State | TX
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Zip | 75019-7001
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Country | US
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Telephone | 254-760-3981
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 307831
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License Number State | TX
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