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General NPI Number Information
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NPI Number | 1730873746
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Entity Type | Individual
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Provider Name | SOPHIA ISABEL PAZMINO-BUCKBEE
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Gender | Female
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2004 SPROUL RD STE 206
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City | BROOMALL
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State | PA
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Zip | 19008-3511
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Country | US
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Telephone | 267-861-3685
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Fax |
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Provider Business Mailing Address
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Address Line | 7213 SENTINEL RDG
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City | NORRISTOWN
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State | PA
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Zip | 19403-5297
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 85373
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC017269
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License Number State | PA
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