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General NPI Number Information
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NPI Number | 1467254771
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Entity Type | Individual
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Provider Name | JAVIER AUGUSTO SOTO ORTEGA P.A.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 13010 BISCAYNE ISLAND TER
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2242
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Country | US
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Telephone | 212-315-8235
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Fax |
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Provider Business Mailing Address
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Address Line | 13010 BISCAYNE ISLAND TER
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2242
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Country | US
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Telephone | 212-315-8235
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2820-P.A.
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | HSE41315
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 2820-P.A.
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 21-509
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License Number State | FL
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