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General NPI Number Information
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NPI Number | 1639022403
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Entity Type | Individual
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Provider Name | JOHAN SOTO BERRUZ
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Gender | Female
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1935 DON WICKHAM DR
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City | CLERMONT
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State | FL
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Zip | 34711-1915
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Country | US
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Telephone | 352-386-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 10530 FIESTA ST
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City | CLERMONT
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State | FL
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Zip | 34711-7364
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT000638
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License Number State | FL
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