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General NPI Number Information
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NPI Number | 1942158191
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Entity Type | Organization
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Legal Business Name | SOLSTICE WELLNESS
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 326 CENTER AVE STE 204
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City | KODIAK
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State | AK
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Zip | 99615-7303
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Country | US
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Telephone | 907-917-8897
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Fax | 774-209-4505
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Provider Business Mailing Address
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Address Line | 326 CENTER AVE STE 204
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City | KODIAK
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State | AK
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Zip | 99615-7303
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Country | US
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Telephone | 907-917-8897
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Fax | 774-209-4505
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Authorized Official
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Title or Position | OWNER / DIRECTOR
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Name | TARA ELIZABETH BONARDI
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Credential | CRNA
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Telephone | 774-239-4106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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