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General NPI Number Information
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NPI Number | 1295562833
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Entity Type | Individual
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Provider Name | SOPHIE DINGMAN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 7425 MISSION VALLEY RD STE 201
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City | SAN DIEGO
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State | CA
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Zip | 92108-4409
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Country | US
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Telephone | 619-291-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 LAMONT ST UNIT 4-307
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City | SAN DIEGO
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State | CA
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Zip | 92109
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Country | US
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Telephone | 818-665-9756
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 306401
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License Number State | CA
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