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General NPI Number Information
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NPI Number | 1356801542
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Entity Type | Individual
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Provider Name | BRIAN SCOTT SOHL MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 311 W 24TH ST STE 305
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City | ERIE
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State | PA
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Zip | 16502-2666
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Country | US
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Telephone | 814-454-4484
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Fax |
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Provider Business Mailing Address
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Address Line | 780 ROBISON RD W
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City | ERIE
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State | PA
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Zip | 16509-5432
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Country | US
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Telephone | 814-528-7746
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | MD482338
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License Number State | PA
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