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General NPI Number Information
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NPI Number | 1033525563
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Entity Type | Individual
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Provider Name | YARELIS SOTO GONZALEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 939-218-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 1149 NEWELL DR ROOM L3-100
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City | GAINESVILLE
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State | FL
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Zip | 32611-0001
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Country | US
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Telephone |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | TRN20166
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A156334
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License Number State | CA
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