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General NPI Number Information
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NPI Number | 1689883860
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Entity Type | Individual
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Provider Name | JULIO CESAR SOTO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 31 S STANFIELD RD STE 306
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City | TROY
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State | OH
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Zip | 45373
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Country | US
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Telephone | 937-440-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD BLDG B3
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City | MORAINE
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-991-3188
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 042.0017894-COMP
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | V1990
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35096156
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TM209
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License Number State | GA
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