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General NPI Number Information
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NPI Number | 1942115308
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Entity Type | Organization
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Legal Business Name | NANA'S HOUSE SOLANO
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 5265 TROPHY DR # A
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City | FAIRFIELD
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State | CA
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Zip | 94534-4054
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Country | US
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Telephone | 510-295-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 4160 SUISUN VALLEY RD # E610
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City | FAIRFIELD
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State | CA
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Zip | 94534-4016
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Country | US
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Telephone | 510-295-9100
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LISA TOLBERT
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Credential |
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Telephone | 510-295-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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