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General NPI Number Information
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NPI Number | 1508835612
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Entity Type | Individual
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Provider Name | JONATHAN J SORCI MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 555 E TACHEVAH DR STE 2E107
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5750
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Country | US
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Telephone | 760-561-7373
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Fax | 760-327-5140
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Provider Business Mailing Address
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Address Line | 555 E TACHEVAH DR STE 2E107
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City | PALM SPRINGS
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State | CA
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Zip | 92262-5750
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Country | US
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Telephone | 760-561-7373
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Fax | 760-327-5140
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A84809
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License Number State | CA
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