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General NPI Number Information
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NPI Number | 1386631653
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Entity Type | Individual
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Provider Name | MARIA C SOTO-AGUILAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 14153 YOSEMITE DR SUITE 201
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City | HUDSON
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State | FL
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Zip | 34667-8060
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Country | US
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Telephone | 727-697-2150
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Fax | 727-863-4757
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Provider Business Mailing Address
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Address Line | 14153 YOSEMITE DR SUITE 201
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City | HUDSON
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State | FL
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Zip | 34667-8060
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Country | US
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Telephone | 727-697-2150
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Fax | 727-863-4757
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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 | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | ME79740
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME79740
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License Number State | FL
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