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General NPI Number Information
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NPI Number | 1073570701
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Entity Type | Organization
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Legal Business Name | LN SOTOS ORTHOPAEDIC ASSOCIATES PC
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 179 N PARK DR SUITE #2
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City | KITTANNING
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State | PA
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Zip | 16201-7117
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Country | US
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Telephone | 724-548-4120
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Fax | 724-545-3421
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Provider Business Mailing Address
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Address Line | 179 N PARK DR SUITE #2
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City | KITTANNING
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State | PA
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Zip | 16201-7117
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Country | US
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Telephone | 724-548-4120
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Fax | 724-545-3421
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Authorized Official
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Title or Position | PRESIDENT PHYSICIAN
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Name | DR. LAZAROS N SOTOS
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Credential | MD
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Telephone | 724-548-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD012272E
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License Number State | PA
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