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General NPI Number Information
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NPI Number | 1376249441
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Entity Type | Individual
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Provider Name | SOPHIE LIAN WERK AUD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 310 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4284
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Country | US
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Telephone | 407-267-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 150 EAST 42ND STREET 10TH FLOOR BOX 3000
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 646-605-8119
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Fax | 646-605-3031
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 003098
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License Number State | NY
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