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General NPI Number Information
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NPI Number | 1285810242
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Entity Type | Individual
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Provider Name | VINEET K SOOD MD
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Gender | Male
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Dates
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Enumeration Date | 01/21/2008
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 1179 T J JACKSON DRIVE SUITE A
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City | FALLING WATERS
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State | WV
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Zip | 25419
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Country | US
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Telephone | 304-820-1031
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Fax | 304-820-1033
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Provider Business Mailing Address
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Address Line | 1179 T J JACKSON DR STE A
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City | FALLING WATERS
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State | WV
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Zip | 25419-4698
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Country | US
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Telephone | 304-820-1031
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Fax | 304-820-1033
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101247455
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | WV 23358
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License Number State | WV
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