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Individual
SOPHY TOMY
Active
Individual
SOPHY TOMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP127653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349426201
—
TX
Enumeration date
07/09/2015
Last updated
11/05/2015
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