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General NPI Number Information
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NPI Number | 1093197022
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Entity Type | Individual
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Provider Name | CHRISTIAN ERIC SOTO M.M., M.A., CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1858 N ALAFAYA TRL STE 207
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City | ORLANDO
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State | FL
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Zip | 32826-4754
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Country | US
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Telephone | 407-900-5313
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Fax | 888-972-5443
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Provider Business Mailing Address
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Address Line | 10850 HEATHER RIDGE CIR APT 108
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City | ORLANDO
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State | FL
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Zip | 32817-3348
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Country | US
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Telephone | 305-305-0926
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Fax | 305-468-6560
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ7139
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA15234
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License Number State | FL
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