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General NPI Number Information
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NPI Number | 1285572081
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Entity Type | Organization
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Legal Business Name | DR. SOTO-NEVAREZ PSYCHOLOGICAL SERVICES AND CONSULTATION, PLLC
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 4311 N RAVENSWOOD AVE
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City | CHICAGO
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State | IL
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Zip | 60613-1192
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Country | US
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Telephone | 708-669-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 4422 N RAVENSWOOD AVE # 1006
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City | CHICAGO
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State | IL
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Zip | 60640-5803
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Country | US
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Telephone | 708-669-6871
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ARTURO SOTO-NEVAREZ
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Credential | PH.D.
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Telephone | 844-682-9173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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