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General NPI Number Information
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NPI Number | 1396649729
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Entity Type | Individual
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Provider Name | SOPHIA MAREK
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Gender | Female
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 112 COLCHESTER AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-1417
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Country | US
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Telephone | 802-847-1693
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Fax |
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Provider Business Mailing Address
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Address Line | 193 CATKIN DR
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-3003
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Country | US
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Telephone | 802-238-9342
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State | NULL
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