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General NPI Number Information
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NPI Number | 1710829510
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Entity Type | Organization
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Legal Business Name | SOLOMON'S JOURNEY INC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 8601 W ECHO LN
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City | PEORIA
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State | AZ
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Zip | 85345-2543
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Country | US
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Telephone | 623-213-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 4611 E CHANDLER BLVD STE 1124132
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City | PHOENIX
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State | AZ
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Zip | 85048-0441
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Country | US
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Telephone | 928-354-6600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LAKISHA A DENT
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Credential | PSYD
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Telephone | 623-213-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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