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General NPI Number Information
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NPI Number | 1801893912
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Entity Type | Individual
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Provider Name | SOPHIE R SORENSON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 109 BEE ST B249A
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City | CHARLESTON
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State | SC
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Zip | 29401-5703
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Country | US
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Telephone | 843-789-7502
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Fax | 843-577-4577
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Provider Business Mailing Address
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Address Line | 1325 BLUE SKY LN
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City | CHARLESTON
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State | SC
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Zip | 29492-8134
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Country | US
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Telephone | 843-881-0926
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 010911
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 010911
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License Number State | SC
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