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Individual
MR. STEVEN V SOPHER
Active
Individual
MR. STEVEN V SOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1104503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00802V
MEDICARE GROUP PROVIDER #
TX
01
—
0T0170
BCBS PROVIDER #
TX
01
—
164171401
MEDICAID GROUP PROVIDER #
TX
05
—
164172201
—
TX
01
—
31JC
BCBS GROUP PROVIDER #
TX
Enumeration date
02/06/2007
Last updated
03/28/2013
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