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General NPI Number Information
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NPI Number | 1730242066
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Entity Type | Individual
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Provider Name | SOPHIA J FOUNTIS D.O.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8660 E SHEA BLVD STE 9
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6654
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Country | US
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Telephone | 480-443-0778
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Fax | 480-998-7093
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Provider Business Mailing Address
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Address Line | 10725 E QUARTZ ROCK RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-8134
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Country | US
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Telephone | 480-473-8985
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Fax | 480-998-7093
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2689
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2689
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License Number State | AZ
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