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NPI Code Detail

MEDICARE: REBECCA SOTO

MEDICARE: REBECCA 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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669694311
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA SOTO
Provider Business Mailing Address
First Line : 4219 OAKBERRY DR
Second Line :
City : ORLANDO
State : FL
Zip : 32817-3862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3544 EDGEWATER DR
Second Line :
City : ORLANDO
State : FL
Zip : 32804-2922
Country : US
Telephone Number : 407-291-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 05/03/2016

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Directions to “ REBECCA SOTO ” Practice Location

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