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NPI Code Detail

MEDICARE: LEIGH V SOPEL

MEDICARE:   LEIGH V SOPEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7210NC

General Provider Information

NPI Number : 1427995711
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH V SOPEL
Provider Business Mailing Address
First Line : 409 ESTHER CT
Second Line :
City : FORT MILL
State : SC
Zip : 29708-5707
Country : US
Telephone Number : 704-517-6187
Fax Number :
Provider Business Practice Location Address
First Line : 4421 STUART ANDREW BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-1589
Country : US
Telephone Number : 980-343-6960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ LEIGH V SOPEL ” Practice Location

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