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General NPI Number Information
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NPI Number | 1467162974
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Entity Type | Individual
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Provider Name | MICHELLE SOLANO LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 680 E COLORADO BLVD STE 180&2ND
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City | PASADENA
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State | CA
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Zip | 91101-6143
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Country | US
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Telephone | 646-941-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 131 S LAMER ST
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City | BURBANK
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State | CA
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Zip | 91506-2637
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Country | US
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Telephone | 818-331-0780
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 148402
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License Number State | CA
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