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General NPI Number Information
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NPI Number | 1487902110
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Entity Type | Individual
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Provider Name | ANGEL S SOTERO PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | BAHIA VISTAMAR D-19 CALLE MARLIN
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City | CAROLINA
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State | PR
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Zip | 00987-1408
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Country | US
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Telephone | 787-644-2290
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Fax | 787-757-7762
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Provider Business Mailing Address
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Address Line | CALLE MARLIN D-19 BAHIA VISTAMAR
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City | CAROLINA
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State | PR
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Zip | 00983-0000
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Country | US
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Telephone | 787-644-2290
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Fax | 787-757-7762
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2607
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 2607
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License Number State | PR
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