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General NPI Number Information
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NPI Number | 1063577955
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Entity Type | Individual
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Provider Name | RANDALL L SOLOMON MD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 760 HAIGHT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-3317
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Country | US
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Telephone | 415-215-8657
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Fax | 800-953-0140
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Provider Business Mailing Address
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Address Line | 3145 GEARY BLVD #750
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-3316
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Country | US
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Telephone | 415-215-8657
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Fax | 800-953-0140
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G54903
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License Number State | CA
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