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General NPI Number Information
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NPI Number | 1013388560
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Entity Type | Individual
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Provider Name | ERIC SOLOMON LPC
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Gender | Male
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 896 CLOVER PL
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City | WARWICK
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State | PA
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Zip | 18974-3802
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Country | US
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Telephone | 267-235-8209
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Fax |
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Provider Business Mailing Address
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Address Line | 896 CLOVER PL
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City | WARWICK
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State | PA
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Zip | 18974-3802
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Country | US
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Telephone | 267-235-8209
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 068.0136173
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00960800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9211
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC003634
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License Number State | PA
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