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General NPI Number Information
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NPI Number | 1104217819
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Entity Type | Organization
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Legal Business Name | SOZO SOLUTIONS INC
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Dates
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Enumeration Date | 02/17/2015
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 8325 BROADWAY ST SUITE 202-283
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City | PEARLAND
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State | TX
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Zip | 77581-5772
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Country | US
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Telephone | 832-870-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 8325 BROADWAY ST SUITE 202-283
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City | PEARLAND
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State | TX
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Zip | 77581-5772
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Country | US
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Telephone | 832-870-3730
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CHARISE NOEL SULLIVAN
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Credential | P.A.-C. MMS
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Telephone | 832-870-3693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 193200000X
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License Number State | TX
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