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General NPI Number Information
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NPI Number | 1902183650
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Entity Type | Individual
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Provider Name | CARLOS S SOTO
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Gender | Male
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 575 N SANBORN RD
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City | SALINAS
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State | CA
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Zip | 93905-2246
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Country | US
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Telephone | 831-751-9319
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Fax |
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Provider Business Mailing Address
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Address Line | 399 VIA PRIMAVERA DR
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City | SAN JOSE
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State | CA
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Zip | 95111-3822
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Country | US
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Telephone | 408-693-9354
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | CA62222
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License Number State | CA
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