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General NPI Number Information
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NPI Number | 1104719889
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Entity Type | Organization
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Legal Business Name | SOLARA PSYCHIATRY
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 60 ISLAND ST STE 113W
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City | LAWRENCE
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State | MA
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Zip | 01840-1835
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Country | US
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Telephone | 978-297-8117
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Fax | 351-888-1285
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Provider Business Mailing Address
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Address Line | 60 ISLAND ST STE 113W
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City | LAWRENCE
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State | MA
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Zip | 01840-1835
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Country | US
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Telephone | 978-297-8117
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Fax | 351-888-1285
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MRS. ELIZABETH MARIE JAIME
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Credential | APRN
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Telephone | 978-297-8117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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