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General NPI Number Information
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NPI Number | 1326838525
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Entity Type | Individual
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Provider Name | SOPHIA COUSINEAU DPT
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 8100 HIGHWOOD DR
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City | BLOOMINGTON
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State | MN
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Zip | 55438-1006
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Country | US
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Telephone | 617-615-7379
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Fax |
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Provider Business Mailing Address
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Address Line | 4 S DEEP LAKE RD
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City | SAINT PAUL
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State | MN
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Zip | 55127-6313
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Country | US
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Telephone | 617-615-3779
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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 | 13815
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0020983
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 26657
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License Number State | MA
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