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General NPI Number Information
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NPI Number | 1033557301
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Entity Type | Individual
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Provider Name | ERIC SOTO PA
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Gender | Male
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 107 NORUMBEGA DR
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City | MONROVIA
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State | CA
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Zip | 91016
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Country | US
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Telephone | 702-788-7307
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Fax |
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Provider Business Mailing Address
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Address Line | 3871 VALLE VISTA DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-2917
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Country | US
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Telephone | 702-541-4577
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA23052
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1110524
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License Number State | CA
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