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Physician Compare National (NPI:1114995412)

HEALTHCARE PROVIDER: PATRICIA R. SOPER DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1114995412
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8820271695
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110401000001
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SOPER
Individual professional last name
Provider First Name PATRICIA
Individual professional first name
Provider Middle Name R
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK CHIROPRACTIC COLLEGE
Individual professional's medical school
Graduation Year 1998
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 303 SENECA RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 102
Group Practice or individual's line 2 address
City HORNELL
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 148431000
Group Practice or individual's zip code (9 digits when available)
Phone Number 6073241127
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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