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General NPI Number Information
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NPI Number | 1174737944
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Entity Type | Individual
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Provider Name | ANTHONY NELSON SOTO 1532B
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 5579 S ORANGE AVE
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City | EDGEWOOD
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State | FL
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Zip | 32809-3493
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Country | US
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Telephone | 407-241-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 819 ASSEMBLY CT
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City | REUNION
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State | FL
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Zip | 34747-6760
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Country | US
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Telephone | 786-817-7861
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11043155
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9532827
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License Number State | FL
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