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General NPI Number Information
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NPI Number | 1396664249
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Entity Type | Organization
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Legal Business Name | SOLIS COLLABORATIVE LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 6601 OLD BRIDGE SITE RD
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City | CASTLE HAYNE
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State | NC
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Zip | 28429-5044
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Country | US
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Telephone | 910-524-7428
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Fax |
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Provider Business Mailing Address
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Address Line | 6605 OLD BRIDGE SITE RD
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City | CASTLE HAYNE
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State | NC
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Zip | 28429-5044
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Country | US
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Telephone | 910-524-7428
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOSEPH CURTIS OWENS
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Credential |
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Telephone | 910-524-7428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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