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General NPI Number Information
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NPI Number | 1962385260
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Entity Type | Individual
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Provider Name | SOPHIA KATHERINE SMITH DPT
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Gender | Female
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 430 WATERSTONE DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-9078
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Country | US
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Telephone | 984-215-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 301 HIGH WOODS RDG
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8271
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Country | US
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Telephone | 630-908-0105
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P24289
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License Number State | NC
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