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General NPI Number Information
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NPI Number | 1972424976
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Entity Type | Organization
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Legal Business Name | SOLARA HEALTH & WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 755 S TELSHOR BLVD # E201
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City | LAS CRUCES
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State | NM
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Zip | 88011-4688
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Country | US
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Telephone | 701-800-1332
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Fax |
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Provider Business Mailing Address
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Address Line | 755 S TELSHOR BLVD # E201
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City | LAS CRUCES
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State | NM
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Zip | 88011-4688
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Country | US
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Telephone | 701-800-1332
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | NICHOLAS ONYEAKAZI
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Credential | NP
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Telephone | 701-800-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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