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General NPI Number Information
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NPI Number | 1033430640
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Entity Type | Individual
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Provider Name | RAYMOND SETH SOHN D.O
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Gender | Male
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 2124 KOHLER MEMORIAL DR STE 110
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City | SHEBOYGAN
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State | WI
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Zip | 53081-3174
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Country | US
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Telephone | 920-204-6758
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Fax | 888-720-0495
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Provider Business Mailing Address
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Address Line | DEPT CH 17057
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City | PALATINE
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State | IL
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Zip | 60055-7057
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Country | US
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Telephone | 920-204-6758
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Fax | 414-325-3770
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | DR.0055453
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | DR.0055453
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 68489
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License Number State | WI
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