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General NPI Number Information
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NPI Number | 1275130759
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Entity Type | Individual
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Provider Name | JOHANNA SOLORZANO APRN FNP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 143 LAUREL DR
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City | ALTADENA
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State | CA
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Zip | 91001-4323
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Country | US
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Telephone | 415-653-6272
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Fax |
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Provider Business Mailing Address
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Address Line | 143 LAUREL DR
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City | ALTADENA
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State | CA
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Zip | 91001-4323
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10319
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 196330
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 489709
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License Number State | CA
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