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General NPI Number Information
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NPI Number | 1205897105
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Entity Type | Organization
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Legal Business Name | TANYA M SOLIS MD PA
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 4002 S LOOP 256 SUITE K
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City | PALESTINE
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State | TX
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Zip | 75801-8491
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Country | US
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Telephone | 903-723-0600
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Fax | 903-723-6006
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Provider Business Mailing Address
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Address Line | PO BOX 54739
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City | NEW ORLEANS
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State | LA
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Zip | 70154-4739
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Country | US
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Telephone | 903-723-0600
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Fax | 903-723-6006
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TANYA M SOLIS
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Credential | MD
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Telephone | 903-723-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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