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General NPI Number Information
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NPI Number | 1437953577
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Entity Type | Individual
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Provider Name | SOPHIA ISELA LUGO TRUJILLO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 3400 LONG PRAIRIE RD STE 101
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2953
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Country | US
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Telephone | 972-899-2537
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Fax |
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Provider Business Mailing Address
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Address Line | 5369 LAS COLINAS BLVD APT 3404
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City | IRVING
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State | TX
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Zip | 75039-4487
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Country | US
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Telephone | 951-595-0234
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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 | 3134310
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License Number State | TX
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