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General NPI Number Information
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NPI Number | 1891500435
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Entity Type | Organization
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Legal Business Name | SOCA ADVANCE HEALTH PRACTICE PA
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 10815 SW 173RD TER
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City | MIAMI
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State | FL
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Zip | 33157-4060
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Country | US
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Telephone | 786-370-0521
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Fax |
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Provider Business Mailing Address
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Address Line | 10815 SW 173RD TER
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City | MIAMI
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State | FL
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Zip | 33157-4060
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Country | US
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Telephone | 786-370-0521
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAILY SOCA GONZALEZ
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Credential | NP
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Telephone | 786-370-0521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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