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NPI 1497543128

NPI 1497543128 : SOLANO FAMILY & CHILDREN'S COUNCIL, INC. : FAIRFIELD, CA

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General NPI Number Information
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    NPI Number           |    1497543128
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOLANO FAMILY & CHILDREN'S COUNCIL, INC. 
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Dates
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    Enumeration Date     |    04/30/2025
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    Last Update Date     |    04/30/2025
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Provider Practice Location Address
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    Address Line         |    421 EXECUTIVE CT N 
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    City                 |    FAIRFIELD
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    State                |    CA
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    Zip                  |    94534-4019
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    Country              |    US
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    Telephone            |    707-863-3950
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    Fax                  |    707-863-3975
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Provider Business Mailing Address
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    Address Line         |    421 EXECUTIVE CT N 
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    City                 |    FAIRFIELD
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    State                |    CA
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    Zip                  |    94534-4019
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    Country              |    US
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    Telephone            |    707-863-3950
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    Fax                  |    707-863-3975
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. KATHRYN JANE LAGO 
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    Credential           |    B.A.
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    Telephone            |    707-864-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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