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General NPI Number Information
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NPI Number | 1053581645
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Entity Type | Organization
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Legal Business Name | SOTTEK TRIPPE ENTERPRISE, LLC
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 2105 CAMINO VIDA ROBLE STE. A
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City | CARLSBAD
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State | CA
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Zip | 92011-1460
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Country | US
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Telephone | 760-579-0223
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Fax | 760-579-0240
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Provider Business Mailing Address
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Address Line | 2105 CAMINO VIDA ROBLE STE. A
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City | CARLSBAD
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State | CA
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Zip | 92011-1460
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Country | US
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Telephone | 760-579-0223
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Fax | 760-579-0240
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Authorized Official
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Title or Position | MANAGER
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Name | MS. CORY MICHELLE GRAHAM SOTTEK
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Credential |
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Telephone | 760-579-0223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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