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General NPI Number Information
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NPI Number | 1043607161
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Entity Type | Individual
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Provider Name | MARY LOUIS SOSCIA ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 3945 CLARK RD
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City | SARASOTA
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State | FL
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Zip | 34233-2364
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Country | US
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Telephone | 941-923-2500
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Fax | 941-923-2520
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Provider Business Mailing Address
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Address Line | 5426 BAY CENTER DR SUITE 300
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City | TAMPA
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State | FL
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Zip | 33609-3444
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Country | US
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Telephone | 813-569-6500
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Fax | 813-864-4030
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9204002
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License Number State | FL
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