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General NPI Number Information
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NPI Number | 1386885382
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Entity Type | Individual
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Provider Name | DAVID RODOLFO SOTO MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 22268 FOOTHILL BLVD STE 3
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City | HAYWARD
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State | CA
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Zip | 94541-2723
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Country | US
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Telephone | 917-405-8859
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21109
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-9109
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Country | US
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Telephone | 917-405-8859
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MT189562
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MT189562
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A107805
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A107805
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License Number State | CA
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