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General NPI Number Information
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NPI Number | 1730007188
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Entity Type | Individual
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Provider Name | SOFIA MIKAELA BARCIAL PTA
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 1685 S 21ST ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-5123
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Country | US
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Telephone | 719-329-1774
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Fax |
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Provider Business Mailing Address
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Address Line | 2465 SIERRA SPRINGS DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80916-2450
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | MSPTA.0000011
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2185979
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License Number State | TX
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