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General NPI Number Information
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NPI Number | 1255662128
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Entity Type | Individual
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Provider Name | MISS ANGELA MARCELA SOLANILLA
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Gender | Female
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 14048 BRAMBLE BUSH CT
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City | ORLANDO
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State | FL
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Zip | 32832-5722
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Country | US
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Telephone | 407-383-7082
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Fax |
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Provider Business Mailing Address
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Address Line | 6750 BOUGANVILLEA CRESCENT DR
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City | ORLANDO
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State | FL
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Zip | 32809-6620
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Country | US
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Telephone | 407-340-7298
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Fax | 407-850-2357
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ4972
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License Number State | FL
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