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General NPI Number Information
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NPI Number | 1235182510
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Entity Type | Individual
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Provider Name | ROBERT S SOLOMON PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 802 MAGNOLIA AVE SUITE 207
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City | CORONA
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State | CA
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Zip | 92879-3104
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Country | US
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Telephone | 714-437-7400
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Fax | 714-437-7410
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Provider Business Mailing Address
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Address Line | 802 MAGNOLIA AVE SUITE 207
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City | CORONA
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State | CA
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Zip | 92879-3104
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Country | US
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Telephone | 714-437-7400
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Fax | 714-437-7410
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY8356
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License Number State | CA
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