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General NPI Number Information
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NPI Number | 1932736618
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Entity Type | Individual
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Provider Name | SOFIA HOSSAIN
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 2660 N BUFFALO DR UNIT 1306
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City | LAS VEGAS
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State | NV
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Zip | 89128-4829
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Country | US
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Telephone | 725-270-9621
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 N BUFFALO DR APT 1306
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City | LAS VEGAS
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State | NV
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Zip | 89128
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Country | US
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Telephone | 725-270-9621
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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 | 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 #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 692079
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License Number State | TX
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