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General NPI Number Information
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NPI Number | 1780404517
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Entity Type | Individual
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Provider Name | KEVIN ALEXANDER SOTO
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Gender | Male
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 235 N GILBERT ST, HEMET, CA
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-658-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 247 E COUNTY LINE RD
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City | CALIMESA
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State | CA
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Zip | 92320-1314
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Country | US
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Telephone | 909-446-6341
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 54581
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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