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General NPI Number Information
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NPI Number | 1356051643
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Entity Type | Individual
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Provider Name | ROY LEE SOLIZ LMSW
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Gender | Male
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 818 E GRAYSON ST
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City | SAN ANTONIO
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State | TX
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Zip | 78208-1013
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Country | US
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Telephone | 210-225-4715
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Fax |
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Provider Business Mailing Address
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Address Line | 991 OAK CREEK DR
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City | LOMBARD
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State | IL
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Zip | 60148-6408
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Country | US
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Telephone | 847-465-9556
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-242615
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 114506
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License Number State | TX
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