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General NPI Number Information
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NPI Number | 1447333588
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Entity Type | Organization
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Legal Business Name | JUAN L. SOTOMAYOR, M.D., P.C.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5229 WITZ DRIVE
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212
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Country | US
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Telephone | 315-701-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 5229 WITZ DRIVE
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212
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Country | US
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Telephone | 315-701-9500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUAN L SOTOMAYOR
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Credential | M.D.
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Telephone | 315-701-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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