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General NPI Number Information
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NPI Number | 1417072489
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Entity Type | Individual
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Provider Name | ROSA SOTO MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 60 AVE WINSTON CHURCHILL APT. 905 VILLAS DEL SENORIAL
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City | SAN JUAN
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State | PR
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Zip | 00926-6704
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Country | US
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Telephone | 787-755-3708
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Fax |
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Provider Business Mailing Address
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Address Line | WINSTON CHURCHILL AVE. VILLAS DEL SENORIAL 905
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-755-3708
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 5664
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License Number State | PR
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