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General NPI Number Information
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NPI Number | 1831013457
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Entity Type | Individual
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Provider Name | SOLITARE GARDNER
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 1630 W PROSPER TRL STE 120
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City | PROSPER
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State | TX
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Zip | 75078-3743
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Country | US
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Telephone | 469-715-1143
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Fax |
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Provider Business Mailing Address
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Address Line | 11257 LAMAR LN
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City | FRISCO
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State | TX
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Zip | 75033-0075
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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 |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-24-381739
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License Number State |
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