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NPI Code Detail

MEDICARE: PEDRO SOTO

MEDICARE: PEDRO SOTO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist46004516AIN

General Provider Information

NPI Number : 1629965025
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRO SOTO
Provider Business Mailing Address
First Line : 7510 ROSEGATE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7510 ROSEGATE DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-8301
Country : US
Telephone Number : 317-889-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2025
Last Update Date : 06/19/2025

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Directions to “ PEDRO SOTO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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