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General NPI Number Information
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NPI Number | 1780520056
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Entity Type | Individual
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Provider Name | SOPHIA DOROS
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 1432 TOWNE LAKE PKWY # 30189
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City | WOODSTOCK
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State | GA
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Zip | 30189-8263
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Country | US
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Telephone | 404-474-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 11560 GREAT OAKS WAY STE 300
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City | ALPHARETTA
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State | GA
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Zip | 30022-2453
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Country | US
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Telephone | 404-474-0040
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-89569
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License Number State | GA
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