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General NPI Number Information
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NPI Number | 1346187010
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Entity Type | Individual
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Provider Name | SOPHIA ZIDLICKY
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1390 S POTOMAC ST STE 114
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City | AURORA
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State | CO
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Zip | 80012-4529
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Country | US
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Telephone | 303-745-6717
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 JACKSON ST
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City | DENVER
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State | CO
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Zip | 80206-3527
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Country | US
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Telephone |
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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 | PTL.0020619
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License Number State | CO
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