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General NPI Number Information
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NPI Number | 1851379341
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER T SOPRENUK MD PA
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Dates
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Enumeration Date | 01/04/2006
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Last Update Date | 07/29/2007
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Provider Practice Location Address
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Address Line | 9846 US HIGHWAY 441 SAME
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City | LEESBURG
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State | FL
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Zip | 34788-3910
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Country | US
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Telephone | 352-728-1886
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Fax | 352-728-1024
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Provider Business Mailing Address
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Address Line | 9846 US HIGHWAY 441 SAME
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City | LEESBURG
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State | FL
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Zip | 34788-3910
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Country | US
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Telephone | 352-728-1886
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Fax | 352-728-1024
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ELIZABETH SOPRENUK
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Credential | R.N.
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Telephone | 352-728-1886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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