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NPI 1710189899

NPI 1710189899 : JOEL SOKOLOFF M.D. : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1710189899
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL SOKOLOFF M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/01/2007
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    Last Update Date     |    08/30/2012
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Provider Practice Location Address
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    Address Line         |    6386 ALVARADO CT 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92120-4905
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    Country              |    US
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    Telephone            |    619-229-2299
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    20 EXECUTIVE PARK STE 155 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92614-4733
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    Country              |    US
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    Telephone            |    949-263-8620
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    Fax                  |    800-409-7005
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    G18987
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    License Number State |    CA
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