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General NPI Number Information
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NPI Number | 1174850770
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Entity Type | Individual
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Provider Name | ALISON RUTH SOLOMON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/03/2009
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 801 W BAY DR STE 418
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City | LARGO
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State | FL
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Zip | 33770-3220
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Country | US
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Telephone | 727-429-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 STARKEY RD LOT 536
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City | LARGO
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State | FL
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Zip | 33771-5485
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Country | US
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Telephone | 727-754-2666
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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