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General NPI Number Information
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NPI Number | 1669816724
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Entity Type | Organization
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Legal Business Name | GREGG SOIFER, MD, LLC
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1165 SANDERS RD
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City | CUMMING
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State | GA
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Zip | 30041-5965
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Country | US
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Telephone | 817-284-9850
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Fax | 817-284-9859
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Provider Business Mailing Address
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Address Line | PO BOX 678402
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City | DALLAS
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State | TX
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Zip | 75267-8402
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Country | US
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Telephone | 800-324-4777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGG ADAM SOIFER
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Credential | M.D.
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Telephone | 817-284-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 31798
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License Number State | TX
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