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General NPI Number Information
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NPI Number | 1265811848
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Entity Type | Organization
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Legal Business Name | SOOD CENTER FOR PLASTIC SURGERY, PC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/28/2015
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Provider Practice Location Address
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Address Line | 199 NEW RD SUITE 31
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City | LINWOOD
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State | NJ
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Zip | 08221-2025
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Country | US
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Telephone | 609-904-5390
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Fax | 609-904-5394
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Provider Business Mailing Address
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Address Line | 199 NEW RD SUITE 31
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City | LINWOOD
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State | NJ
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Zip | 08221-2025
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Country | US
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Telephone | 609-904-5390
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Fax | 609-904-5394
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHIT SOOD
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Credential | D.O.
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Telephone | 609-904-5390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 25MB09088300
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License Number State | NJ
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