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General NPI Number Information
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NPI Number | 1861730335
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Entity Type | Individual
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Provider Name | ISABELLE SOH M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 8767 WILSHIRE BLVD FL 3
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2714
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Country | US
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Telephone | 310-248-7077
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Fax | 424-314-8735
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Provider Business Mailing Address
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Address Line | PO BOX 1020
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City | STOCKTON
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State | CA
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Zip | 95201-3120
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Country | US
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Telephone | 209-468-6000
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Fax | 209-468-7042
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A135963
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License Number State | CA
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