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General NPI Number Information
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NPI Number | 1255836409
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Entity Type | Individual
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Provider Name | RIM SOLIMAN ISHAK MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 5172 LEAVITT RD
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City | LORAIN
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State | OH
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Zip | 44053-2384
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Country | US
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Telephone | 440-282-7420
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Fax | 440-204-7376
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Provider Business Mailing Address
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Address Line | 5172 LEAVITT RD
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City | LORAIN
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State | OH
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Zip | 44053-2384
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Country | US
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Telephone | 440-282-7420
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Fax | 440-204-7376
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 35.148331
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 35.148331
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 4351038200
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License Number State | MI
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