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General NPI Number Information
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NPI Number | 1578363446
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Entity Type | Individual
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Provider Name | SOPHIA FLICKER
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 3400 CORAL WAY STE 202
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City | MIAMI
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State | FL
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Zip | 33145-3053
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Country | US
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Telephone | 305-856-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 520 NE WATERWAY LN
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City | BOCA RATON
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State | FL
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Zip | 33432-2828
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Country | US
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Telephone | 201-289-0365
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SI7838
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License Number State | FL
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