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General NPI Number Information
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NPI Number | 1205946365
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Entity Type | Individual
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Provider Name | SOLMAZ N/A MODEER RT, RTM
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1635 3RD AVE STE G
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City | CHULA VISTA
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State | CA
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Zip | 91911-5884
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Country | US
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Telephone | 619-409-6939
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Fax | 619-409-6949
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Provider Business Mailing Address
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Address Line | 14795 CAMINITO ORENSE ESTE
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City | SAN DIEGO
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State | CA
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Zip | 92129-1532
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Country | US
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Telephone | 619-409-6939
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Fax | 619-409-6949
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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 | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number | RHM61604
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2471B0102X
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Taxonomy Name | Bone Densitometry Radiologic Technologist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State | CA
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