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General NPI Number Information
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NPI Number | 1972689529
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Entity Type | Individual
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Provider Name | IVETTE SOTO TOLEDO PT
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | CARR 129 L, 21 HM 9 BO CALLEJONES LARES
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City | LARES
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State | PR
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Zip | 00669-0819
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Country | US
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Telephone | 787-897-6611
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Fax | 787-897-6611
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Provider Business Mailing Address
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Address Line | PO BOX 819
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City | LARES
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State | PR
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Zip | 00669-0819
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Country | US
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Telephone | 787-897-6611
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Fax | 787-897-6611
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1008
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License Number State | PR
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