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General NPI Number Information
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NPI Number | 1003310970
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Entity Type | Individual
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Provider Name | MATTHEW LORENC SODERLUND DO
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 5601 W EUGIE AVE
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City | GLENDALE
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State | AZ
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Zip | 85304-1255
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Country | US
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Telephone | 602-298-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 5601 W EUGIE AVE
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City | GLENDALE
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State | AZ
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Zip | 85304-1255
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Country | US
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Telephone | 602-298-8888
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 010940
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 010940
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License Number State | AZ
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