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General NPI Number Information
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NPI Number | 1740120898
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Entity Type | Individual
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Provider Name | SOFIA RIVERA BONETA DC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 8390 CHAMPIONS GATE BLVD STE 306
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City | CHAMPIONS GATE
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State | FL
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Zip | 33896-8313
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Country | US
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Telephone | 407-885-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 CARRABELLE WAY
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City | SANFORD
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State | FL
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Zip | 32771-4816
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15052
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License Number State | FL
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