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General NPI Number Information
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NPI Number | 1134855448
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Entity Type | Individual
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Provider Name | KHATE YVONNE SOLIMAN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 17310 BEAR VALLEY RD STE 101
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City | VICTORVILLE
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State | CA
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Zip | 92395-7773
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Country | US
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Telephone | 909-453-3255
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Fax |
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Provider Business Mailing Address
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Address Line | 5333 CORISON WAY
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City | FONTANA
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State | CA
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Zip | 92336-5995
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Country | US
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Telephone | 310-753-6989
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95020432
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License Number State | CA
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