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General NPI Number Information
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NPI Number | 1295679959
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Entity Type | Individual
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Provider Name | SOPHIE MAE DAVIS SLP
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 253 WASHINGTON ST
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City | HUDSON
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State | MA
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Zip | 01749-2979
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Country | US
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Telephone | 215-499-5448
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Fax | 800-307-4356
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Provider Business Mailing Address
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Address Line | PO BOX 360
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City | MOORESTOWN
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State | NJ
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Zip | 08057-0360
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Country | US
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Telephone | 215-499-5448
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Fax | 800-307-4356
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP102078
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License Number State | MA
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