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General NPI Number Information
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NPI Number | 1932734332
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Entity Type | Individual
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Provider Name | LORENA SOSA
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Gender | Female
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Dates
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Enumeration Date | 03/05/2020
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1920 E CAMBRIDGE AVE STE 301
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City | PHOENIX
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State | AZ
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Zip | 85006-1464
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Country | US
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Telephone | 602-933-0935
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7761
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Country | US
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Telephone | 602-933-3124
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 118341
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License Number State | AZ
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