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General NPI Number Information
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NPI Number | 1386262012
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Entity Type | Individual
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Provider Name | SOPHIA ASPIN
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 150 E HURON ST STE 803
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City | CHICAGO
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State | IL
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Zip | 60611-2912
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Country | US
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Telephone | 312-640-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 4718 N BEACON ST APT 3W
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City | CHICAGO
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State | IL
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Zip | 60640-4815
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Country | US
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Telephone | 630-200-7278
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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 |
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License Number State |
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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 | 070.025498
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License Number State | IL
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