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General NPI Number Information
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NPI Number | 1477441673
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Entity Type | Individual
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Provider Name | ANDREW ROBERT SORENSEN DO
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Gender | Male
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 400 N PEPPER AVE
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City | COLTON
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State | CA
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Zip | 92324-1819
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Country | US
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Telephone | 909-580-6343
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Fax | 909-580-6257
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Provider Business Mailing Address
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Address Line | 3777 MISSION INN AVE APT 322
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City | RIVERSIDE
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State | CA
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Zip | 92501-3279
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Country | US
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Telephone | 949-466-1140
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4242
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License Number State | CA
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