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General NPI Number Information
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NPI Number | 1164229738
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Entity Type | Individual
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Provider Name | JOSE GABRIEL SOLIS
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Gender | Male
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 333 S TWIN OAKS VALLEY RD
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City | SAN MARCOS
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State | CA
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Zip | 92096-0001
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Country | US
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Telephone | 760-750-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 120 DIXON LANDING RD SPC 121
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City | MILPITAS
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State | CA
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Zip | 95035-2533
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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