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General NPI Number Information
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NPI Number | 1225977234
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Entity Type | Individual
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Provider Name | TRACY LASHAWN SOLOMON
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Gender | Female
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | PO BOX 73
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City | WIMAUMA
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State | FL
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Zip | 33598-0073
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Country | US
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Telephone | 813-862-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 4982 COSMOS CIR APT 406
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City | WIMAUMA
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State | FL
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Zip | 33598-4838
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Country | US
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Telephone | 813-607-5990
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | FL
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