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General NPI Number Information
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NPI Number | 1639093453
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Entity Type | Organization
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Legal Business Name | SHANE RAYOS DEL SOL, M.D., INC.
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 18035 BROOKHURST ST STE 1100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6738
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Country | US
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Telephone | 714-861-4888
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Fax |
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Provider Business Mailing Address
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Address Line | 18035 BROOKHURST ST STE 1100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SHANE RAYOS DEL SOL
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Credential | MD
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Telephone | 714-457-5866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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