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General NPI Number Information
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NPI Number | 1780024315
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Entity Type | Individual
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Provider Name | ANNETTY PAMELA SOTO DMD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 13065 E 17TH AVE
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City | AURORA
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State | CO
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Zip | 80045-2532
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Country | US
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Telephone | 303-724-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 13065 E 17TH AVE
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City | AURORA
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State | CO
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Zip | 80045-2532
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Country | US
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Telephone | 303-724-6900
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 39185
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DTP652
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | AD.0000532
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DL11911
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License Number State | MA
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