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General NPI Number Information
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NPI Number | 1902562366
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Entity Type | Organization
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Legal Business Name | SOLIS ACUPUNCTURE INC.
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 5617 SCOTTS VALLEY DR STE 180
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-3452
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Country | US
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Telephone | 831-854-9060
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Fax | 831-464-1638
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Provider Business Mailing Address
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Address Line | 5617 SCOTTS VALLEY DR STE 180
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-3452
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Country | US
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Telephone | 831-854-9060
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Fax | 831-464-1638
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Authorized Official
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Title or Position | CORPORATE PRESIDENT
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Name | DANIELE UZES
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Credential | L.AC.
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Telephone | 916-826-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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