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General NPI Number Information
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NPI Number | 1376458117
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Entity Type | Individual
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Provider Name | SOPHIA LEON
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Gender | Female
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 11575 CITY HALL PROMENADE
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City | MIRAMAR
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State | FL
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Zip | 33025-7582
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Country | US
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Telephone | 786-859-0774
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Fax | 833-333-1556
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Provider Business Mailing Address
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Address Line | 300 GRANELLO AVE APT 856
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City | CORAL GABLES
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State | FL
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Zip | 33146-1950
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI8725
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License Number State | FL
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