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General NPI Number Information
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NPI Number | 1093731721
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Entity Type | Organization
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Legal Business Name | MYRNA L. SORIANO MD PA
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 1205 NEWTOWN LANGHORNE ROAD SUITE 406 ST MARY MEDICAL OFFICE
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-630-1361
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Fax | 215-550-6115
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Provider Business Mailing Address
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Address Line | 1361 BRENTWOOD RD
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City | YARDLEY
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State | PA
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Zip | 19067-3924
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Country | US
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Telephone | 215-497-0669
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Fax | 215-550-6115
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Authorized Official
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Title or Position | CORPORATION PRESIDENT
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Name | DR. MYRNA L SORIANO
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Credential | MD
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Telephone | 215-630-1361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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