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General NPI Number Information
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NPI Number | 1215081427
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Entity Type | Individual
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Provider Name | EVA L SORENSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 838 NORDAHL RD STE 310
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City | SAN MARCOS
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State | CA
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Zip | 92069-3599
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Country | US
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Telephone | 442-999-5977
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Fax | 442-999-5914
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Provider Business Mailing Address
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Address Line | 909 SUMMER HOLLY LN
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City | ENCINITAS
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State | CA
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Zip | 92024-6838
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Country | US
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Telephone | 760-525-1881
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Fax | 760-942-4464
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A64050
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License Number State | CA
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