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General NPI Number Information
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NPI Number | 1467158857
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Entity Type | Individual
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Provider Name | AUDREY MALBOG SOLANO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 655 EUCLID AVE STE 205
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City | NATIONAL CITY
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State | CA
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Zip | 91950-2967
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Country | US
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Telephone | 619-470-1945
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Fax |
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Provider Business Mailing Address
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Address Line | 8675 LYNX RD
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City | SAN DIEGO
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State | CA
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Zip | 92126-1828
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Country | US
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Telephone | 714-747-6672
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95022627
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License Number State | CA
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