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General NPI Number Information
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NPI Number | 1780085522
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Entity Type | Individual
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Provider Name | IVETTE SOTO RPH
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Gender | Female
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 645 W HALLANDALE BEACH BLVD STE 107
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5345
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Country | US
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Telephone | 305-570-1933
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Fax | 305-570-2433
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Provider Business Mailing Address
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Address Line | 7698 NW 178TH ST
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City | HIALEAH
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State | FL
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Zip | 33015-6161
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Country | US
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Telephone | 305-467-4868
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS38831
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License Number State | FL
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