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General NPI Number Information
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NPI Number | 1801257183
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Entity Type | Individual
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Provider Name | SOFIA ABIGAIL FUNES D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 5961 N FALLS CIRCLE DR APT 401
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City | LAUDERHILL
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State | FL
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Zip | 33319-6818
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Country | US
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Telephone | 352-615-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 5961 N FALLS CIRCLE DR APT 401
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City | LAUDERHILL
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State | FL
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Zip | 33319-6818
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Country | US
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Telephone | 352-615-2950
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | OS15427
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OS15427
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | OS15427
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 15427
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2083S0010X
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Taxonomy Name | Sports Medicine (Preventive Medicine) Physician
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License Number | OS15427
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License Number State | FL
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