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General NPI Number Information
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NPI Number | 1982223954
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Entity Type | Individual
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Provider Name | AMYTHIS SOLTANI
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Gender | Female
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 900 BLAKE WILBUR DR # W0050
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City | PALO ALTO
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State | CA
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Zip | 94304-2201
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Country | US
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Telephone | 650-725-6079
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 W EL CAMINO REAL UNIT 1116
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2753
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 193858
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License Number State | CA
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