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General NPI Number Information
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NPI Number | 1881660017
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Entity Type | Individual
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Provider Name | EDGARDO SOTO QUINONES M,D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | AVE.R. RODRIGUEZ B-12 VILLA CLEMENTINA
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City | GUAYNABO
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State | PR
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Zip | 00969-0969
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Country | US
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Telephone | 787-708-1181
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Fax | 787-708-1181
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Provider Business Mailing Address
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Address Line | PO BOX 2904 AVE.WASHINGTON F-5 PARKVILLE
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City | GUAYNABO
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State | PR
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Zip | 00970-2904
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Country | US
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Telephone | 787-790-7817
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Fax | 787-708-1181
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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 | 9104
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License Number State | PR
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