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General NPI Number Information
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NPI Number | 1164674248
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Entity Type | Organization
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Legal Business Name | DARYA SOTO MD INC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 100 ROWLAND WAY STE 300
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City | NOVATO
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State | CA
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Zip | 94945-5041
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Country | US
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Telephone | 415-878-0225
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Fax | 415-878-0215
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Provider Business Mailing Address
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Address Line | 100 ROWLAND WAY STE 300
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City | NOVATO
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State | CA
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Zip | 94945-5041
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Country | US
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Telephone | 415-878-0225
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Fax | 415-878-0215
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Authorized Official
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Title or Position | OWNER
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Name | DARYA SOTO
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Credential | MD
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Telephone | 415-812-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A63874
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | A63874
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A63874
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License Number State | CA
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