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General NPI Number Information
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NPI Number | 1073866000
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Entity Type | Individual
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Provider Name | SHARON JEAN SOELLER SPEC. ED. COORDINAT
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 22250 ELKWOOD ST
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City | CANOGA PARK
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State | CA
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Zip | 91304-5501
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Country | US
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Telephone | 818-456-4590
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 TOPANGA CANYON BLVD SPC #4
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-5253
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Country | US
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Telephone | 213-448-0850
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 070302356
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License Number State | CA
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