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General NPI Number Information
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NPI Number | 1417434846
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Entity Type | Individual
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Provider Name | MAGDA LYNN SOTELO
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Gender | Female
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 12/27/2018
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Provider Practice Location Address
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Address Line | 180 PROMENADE CIR STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95834-2952
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Country | US
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Telephone | 916-500-2851
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Fax |
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Provider Business Mailing Address
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Address Line | 3511 DEL PASO RD STE 160
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City | SACRAMENTO
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State | CA
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Zip | 95835-2808
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Country | US
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Telephone | 916-500-2581
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Fax | 916-274-4646
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | B4418380
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License Number State | CA
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