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General NPI Number Information
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NPI Number | 1922807049
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Entity Type | Organization
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Legal Business Name | SOLIDARITUS HEALTH CALIFORNIA PC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 754 THE ALAMEDA STE 10
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City | SAN JOSE
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State | CA
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Zip | 95126-3164
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Country | US
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Telephone | 408-539-4856
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Fax | 408-869-5360
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Provider Business Mailing Address
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Address Line | 1025 CONNECTICUT AVE NW STE 907
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City | WASHINGTON
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State | DC
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Zip | 20036-5434
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Country | US
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Telephone | 703-454-8063
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | LAKEISHA FLORES
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Credential |
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Telephone | 804-304-6764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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