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General NPI Number Information
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NPI Number | 1578558771
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Entity Type | Individual
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Provider Name | SANDRA JEAN SOFINSKI MD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 5150 JOURNAL CENTER BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5917
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Country | US
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Telephone | 505-262-3937
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Fax |
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Provider Business Mailing Address
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Address Line | ATTN: SANDRA SOFINSKI, MD 2305 AARON ST, #411
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952
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Country | US
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Telephone | 310-948-8148
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME150114
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME150114
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD2025-1061
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License Number State | NM
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