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General NPI Number Information
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NPI Number | 1174326904
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Entity Type | Individual
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Provider Name | SERRA SOZEN MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1945 NJ-33
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City | NEPTUNE CITY
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-776-4930
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Fax |
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Provider Business Mailing Address
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Address Line | 56 LINCOLN ST APT 8
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City | ESSEX JUNCTION
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State | VT
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Zip | 05452-4442
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Country | US
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Telephone | 516-263-3515
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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