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General NPI Number Information
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NPI Number | 1598473597
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Entity Type | Organization
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Legal Business Name | SOTO & SAGAN LLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 18818 TUBA ST
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City | NORTHRIDGE
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State | CA
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Zip | 91324-1337
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Country | US
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Telephone | 661-670-6459
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Fax |
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Provider Business Mailing Address
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Address Line | 27614 SUSAN BETH WAY UNIT H
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City | SANTA CLARITA
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State | CA
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Zip | 91350-1787
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Country | US
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Telephone | 661-670-6459
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | SORAYA MATHEWS
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Credential | JD
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Telephone | 661-670-6459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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