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General NPI Number Information
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NPI Number | 1902748635
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Entity Type | Individual
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Provider Name | JULIAN ANDRES CHAVARRIAGA SOTO
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Gender | Male
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 429 N 21ST ST
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City | CAMP HILL
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State | PA
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Zip | 17011-2202
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Country | US
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Telephone | 717-761-7244
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Fax |
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Provider Business Mailing Address
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Address Line | 3247 MATEER LN
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City | MECHANICSBURG
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State | PA
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Zip | 17055-7070
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Country | US
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Telephone | 717-831-5185
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | LT001094
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License Number State | PA
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