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General NPI Number Information
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NPI Number | 1528276359
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Entity Type | Individual
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Provider Name | MR. RICHARD ALEXANDER SORIANO
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 290 DIVISION ST 200
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-4882
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Country | US
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Telephone | 415-863-4922
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Fax |
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Provider Business Mailing Address
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Address Line | 3640 26TH ST #5
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-4383
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Country | US
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Telephone | 415-307-0595
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Fax | 866-826-1821
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24465
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License Number State | CA
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