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General NPI Number Information
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NPI Number | 1144390063
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Entity Type | Individual
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Provider Name | MARIA A MAYMI SOTO M.D
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/24/2009
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Provider Practice Location Address
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Address Line | GALERIA DE ARTES Y CIENCIAS SUITE 103 CARR. 693 KM 8.2
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-599-1010
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Fax | 787-278-3200
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Provider Business Mailing Address
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Address Line | URBANIZACION PASEO LOS CORALES 585 CALLE MAR CARIBE
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-599-1010
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Fax | 787-278-3200
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 14872
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License Number State | PR
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