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General NPI Number Information
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NPI Number | 1750576534
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Entity Type | Organization
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Legal Business Name | SOTO MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 3363 NE 163RD ST SUITE 505
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4401
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Country | US
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Telephone | 305-940-5007
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Fax |
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Provider Business Mailing Address
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Address Line | 1571 STILLWATER DR
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City | MIAMI BEACH
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State | FL
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Zip | 33141-1039
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Country | US
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Telephone | 305-940-5007
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOSE A SOTO
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Credential | M.D.
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Telephone | 305-940-5007
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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 | ME0078861
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License Number State | FL
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