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General NPI Number Information
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NPI Number | 1326448788
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Entity Type | Individual
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Provider Name | DAVID SOLOMON
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Gender | Male
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 16200 VENTURA BLVD STE 403
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City | ENCINO
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State | CA
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Zip | 91436-4692
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Country | US
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Telephone | 818-336-1786
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Fax |
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Provider Business Mailing Address
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Address Line | 25570 THE OLD RD # 1081
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City | VALENCIA
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State | CA
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Zip | 91381-1705
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Country | US
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Telephone | 818-336-1786
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | PSY31720
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY31720
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY31720
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License Number State | CA
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