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General NPI Number Information
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NPI Number | 1710891197
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Entity Type | Individual
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Provider Name | SOPHIE WILMANSKI
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 3565 PA-611 STE 300
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City | BARTONSVILLE
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State | PA
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Zip | 18321
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Country | US
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Telephone | 484-526-2598
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Fax |
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Provider Business Mailing Address
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Address Line | 905 GREEN ST
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City | LEHIGHTON
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State | PA
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Zip | 18235-6170
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Country | US
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Telephone | 908-305-9644
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MA068336
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License Number State | PA
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