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Individual
DR. NICHOLE Q SOTO
Active
Individual
DR. NICHOLE Q SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPEUTIC OPTOMETR
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5951TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020FB
BCBS
—
05
—
143025801
—
TX
Enumeration date
02/09/2007
Last updated
02/05/2018
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