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General NPI Number Information
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NPI Number | 1164595260
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Entity Type | Organization
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Legal Business Name | RITA CHRISTINE SOTO
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 78900 AVENUE 47 STE. 110
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City | LA QUINTA
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State | CA
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Zip | 92253-2070
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Country | US
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Telephone | 760-771-8334
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Fax | 760-771-8337
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Provider Business Mailing Address
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Address Line | 78900 AVENUE 47 STE. 110
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City | LA QUINTA
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State | CA
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Zip | 92253-2070
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Country | US
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Telephone | 760-771-8334
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Fax | 760-771-8337
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Authorized Official
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Title or Position | OWNER
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Name | DR. RITA CHRISTINE SOTO
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Credential | D.D.S.
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Telephone | 760-771-8334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 44092
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License Number State | CA
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