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NPI 1972017143

NPI 1972017143 : SOFIE LOUISE BESSER DPT, ATC : LUTHERVILLE, MD

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General NPI Number Information
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    NPI Number           |    1972017143
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    Entity Type          |    Individual 
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    Provider Name        |    SOFIE LOUISE BESSER DPT, ATC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/27/2017
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    10755 FALLS RD 
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    City                 |    LUTHERVILLE
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    State                |    MD
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    Zip                  |    21093-4515
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    Country              |    US
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    Telephone            |    410-583-2774
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    Fax                  |    410-583-2883
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Provider Business Mailing Address
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    Address Line         |    6201 GREENLEIGH AVE 
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    City                 |    MIDDLE RIVER
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    State                |    MD
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    Zip                  |    21220-2004
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    Country              |    US
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    Telephone            |    410-933-0000
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    096.005626
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    License Number State |    IL
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Taxonomy #3
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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 #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    29435
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    License Number State |    MD
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