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General NPI Number Information
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NPI Number | 1104894252
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Entity Type | Individual
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Provider Name | ANDREA KATHLEEN SOTELO MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 6116 E WARREN AVE
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City | DENVER
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State | CO
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Zip | 80222-5703
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Country | US
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Telephone | 303-512-0888
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Fax | 303-512-2268
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Provider Business Mailing Address
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Address Line | 103 CONTINENTAL PL STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-1041
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Country | US
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Telephone | 615-916-3200
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Fax | 615-658-8389
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 42674
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License Number State | CO
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