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General NPI Number Information
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NPI Number | 1457582140
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Entity Type | Individual
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Provider Name | GELAREH SOLOMON PH.D
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 23150 CRENSHAW BLVD STE 100
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City | TORRANCE
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State | CA
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Zip | 90505-3025
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Country | US
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Telephone | 310-437-7399
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Fax | 310-437-7398
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Provider Business Mailing Address
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Address Line | PO BOX 3129
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City | TORRANCE
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State | CA
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Zip | 90510-3129
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Country | US
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Telephone | 310-792-3914
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Fax | 855-898-4055
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY26255
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License Number State | CA
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