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General NPI Number Information
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NPI Number | 1023388600
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Entity Type | Individual
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Provider Name | YANIS SOLEI B.A., PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 615 KING ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3105
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Country | US
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Telephone | 703-837-8691
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Fax | 703-837-8697
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Provider Business Mailing Address
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Address Line | P.O. BOX 114473
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City | CASA GRANDE
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State | AZ
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Zip | 85130
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Country | US
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Telephone | 602-465-7166
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202209691
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License Number State | VA
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