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General NPI Number Information
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NPI Number | 1114157112
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Entity Type | Individual
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Provider Name | VIKRAM SINGH SODHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 194 THOMAS JOHNSON DR SUITE A
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City | FREDERICK
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State | MD
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Zip | 21702-4679
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Country | US
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Telephone | 240-215-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 194 THOMAS JOHNSON DR SUITE A
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City | FREDERICK
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State | MD
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Zip | 21702-4679
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Country | US
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Telephone | 240-215-6310
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 269088
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 269088
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | D80127
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D80127
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License Number State | MD
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