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General NPI Number Information
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NPI Number | 1356942288
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Entity Type | Organization
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Legal Business Name | SOL COMMUNITY CENTER, CORP
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 9380 SW 72ND ST STE B202B240
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City | MIAMI
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State | FL
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Zip | 33173-3276
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Country | US
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Telephone | 786-534-4979
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Fax |
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Provider Business Mailing Address
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Address Line | 9380 SUNSET DR STE B240
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City | MIAMI
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State | FL
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Zip | 33173-5483
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Country | US
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Telephone | 786-405-5150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEIDY EXPOSITO DE LA CRUZ
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Credential |
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Telephone | 786-405-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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