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General NPI Number Information
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NPI Number | 1174259147
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Entity Type | Individual
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Provider Name | DR. EDWIN ALEXANDER SOTO
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Gender | Male
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 3237 UNION ST
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City | NORTH CHILI
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State | NY
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Zip | 14514-1129
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Country | US
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Telephone | 585-617-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 36 JOSEPHINE DR
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City | ROCHESTER
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State | NY
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Zip | 14606-3471
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Country | US
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Telephone | 716-204-6865
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 013635
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License Number State | NY
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