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General NPI Number Information
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NPI Number | 1093170805
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Entity Type | Organization
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Legal Business Name | TIMOTHY SOLIMAN AFCH
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 12/21/2015
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Provider Practice Location Address
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Address Line | 738 TANANA FALL DRIVE
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City | RUSKIN
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State | FL
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Zip | 33570
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Country | US
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Telephone | 813-728-0551
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Fax |
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Provider Business Mailing Address
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Address Line | 738 TANANA FALL DR
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City | RUSKIN
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State | FL
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Zip | 33570-6363
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Country | US
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Telephone | 813-728-0551
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | TIMOTHY SOLIMAN
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Credential |
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Telephone | 813-645-1519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 69
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License Number State | FL
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