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General NPI Number Information
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NPI Number | 1053774398
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Entity Type | Individual
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Provider Name | NATALIA CANO SOKOLOFF M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 3401 CIVIC CENTER BLVD PEDIATRIC ADVANCED CARE TEAM
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City | PHILADELPHIA
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State | PA
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Zip | 19104-1329
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Country | US
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Telephone | 857-317-0532
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Fax | 718-334-2862
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD PEDIATRIC ADVANCED CARE TEAM
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City | PHILADELPHIA
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State | PA
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Zip | 19104-1329
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Country | US
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Telephone | 857-317-0532
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Fax | 718-334-2862
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number | MT219943
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License Number State | PA
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