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General NPI Number Information
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NPI Number | 1518747849
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Entity Type | Individual
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Provider Name | SOLJI KIM
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Gender | Female
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1085 PURDUE CT
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City | DIXON
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State | CA
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Zip | 95620-9324
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Country | US
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Telephone | 302-893-9409
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Fax |
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Provider Business Mailing Address
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Address Line | 1085 PURDUE CT
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City | DIXON
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State | CA
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Zip | 95620-9324
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Country | US
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Telephone | 302-893-9409
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PCAR10794
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | APCC14113
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License Number State | CA
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