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General NPI Number Information
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NPI Number | 1871080614
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Entity Type | Organization
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Legal Business Name | MATTHEW P. SOAPE MD PA
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 3814 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1118
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Country | US
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Telephone | 806-795-4500
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Fax | 806-795-4792
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Provider Business Mailing Address
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Address Line | 3814 22ND PL
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City | LUBBOCK
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State | TX
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Zip | 79410-1118
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Country | US
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Telephone | 806-795-4500
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Fax | 806-795-4792
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Authorized Official
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Title or Position | GASTROENTEROLOGIST
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Name | DR. MATTHEW PHILLIP SOAPE
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Credential | MD
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Telephone | 806-795-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | R2999
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License Number State | TX
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