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Individual
DR. SOPHIE PARKER
Active
Individual
DR. SOPHIE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD064505L
PA
207RC0000X
Cardiovascular Disease Physician
0101238123
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010214831
—
VA
01
—
VAA103565
INDIVIDUAL PTAN
—
Enumeration date
07/10/2006
Last updated
01/24/2020
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