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General NPI Number Information
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NPI Number | 1134863921
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Entity Type | Individual
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Provider Name | DANILO ENRIQUE SOTO LEON APRN
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Gender | Male
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 14438 UNIVERSITY COVE PL
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City | TAMPA
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State | FL
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Zip | 33613-3740
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Country | US
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Telephone | 813-739-7497
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Fax |
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Provider Business Mailing Address
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Address Line | 5263 NEIL DR
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City | SAINT PETERSBURG
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State | FL
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Zip | 33714-2403
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Country | US
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Telephone | 305-497-5442
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1239
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11037116
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 11037116
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 11037116
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License Number State | FL
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