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General NPI Number Information
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NPI Number | 1184437576
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Entity Type | Individual
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Provider Name | SOFIA REYES
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Gender | Female
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1000 E HIGHWAY 83 SUITE 1
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City | LA JOYA
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State | TX
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Zip | 78560-8304
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Country | US
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Telephone | 956-585-2704
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 E 19TH ST
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City | MISSION
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State | TX
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Zip | 78572-3288
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Country | US
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Telephone | 956-827-8580
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 74807
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License Number State | TX
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