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General NPI Number Information
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NPI Number | 1023758943
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Entity Type | Individual
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Provider Name | GABRIELLE SOLARIO CG 61265886
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/31/2022
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Provider Practice Location Address
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Address Line | 5197 NW LOWER RIVER ROAD BLDG #1
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City | VANCOUVER
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State | WA
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Zip | 98660
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Country | US
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Telephone | 360-205-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 INDEX ST
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City | WASHOUGAL
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State | WA
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Zip | 98671-2567
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Country | US
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Telephone | 321-946-6638
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Fax |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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