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General NPI Number Information
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NPI Number | 1982237772
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Entity Type | Individual
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Provider Name | SOPHIA KANAKARIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4435 EASTGATE MALL STE 120
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City | SAN DIEGO
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State | CA
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Zip | 92121-1980
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Country | US
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Telephone | 858-587-8669
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 DALLAS PKWY STE 290
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City | FRISCO
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State | TX
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Zip | 75034-7493
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Country | US
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Telephone | 945-260-0010
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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 | 296962
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 296962
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License Number State | CA
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