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General NPI Number Information
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NPI Number | 1972737385
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Entity Type | Individual
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Provider Name | MOHIT SOOD DO.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 649 SHORE RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2449
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Country | US
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Telephone | 609-653-4535
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Fax | 609-365-5303
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Provider Business Mailing Address
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Address Line | 649 SHORE RD
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2449
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Country | US
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Telephone | 609-653-4535
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Fax | 609-365-5303
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MB09088300
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License Number State | NJ
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