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General NPI Number Information
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NPI Number | 1003573767
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Entity Type | Individual
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Provider Name | CYNDY GUADALUPE SOTO-LOPEZ PHD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 1664 N VIRGINIA ST
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City | RENO
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State | NV
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Zip | 89557-0001
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Country | US
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Telephone | 775-682-6520
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Fax |
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Provider Business Mailing Address
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Address Line | 16535 N CUMBIE LN
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City | SURPRISE
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State | AZ
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Zip | 85378-3644
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Country | US
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Telephone | 623-377-8453
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY1067
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-005527
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License Number State | AZ
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