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General NPI Number Information
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NPI Number | 1780185116
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Entity Type | Organization
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Legal Business Name | SOLANO HEALTHCARE PLC
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 02/21/2018
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Provider Practice Location Address
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Address Line | 415 S 48TH ST STE 107
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City | TEMPE
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State | AZ
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Zip | 85281-2357
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Country | US
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Telephone | 602-292-7232
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Fax |
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Provider Business Mailing Address
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Address Line | 415 S 48TH ST STE 107
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City | TEMPE
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State | AZ
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Zip | 85281-2357
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Country | US
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Telephone | 602-292-7232
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MARTA SOLANO
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Credential | NP
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Telephone | 602-292-7232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP10741
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License Number State | AZ
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