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General NPI Number Information
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NPI Number | 1265196976
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Entity Type | Individual
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Provider Name | JUAN ANTONIO SOLANO
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Gender | Male
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Dates
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Enumeration Date | 10/28/2021
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 4111 J ST STE 2
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City | HOUSTON
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State | TX
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Zip | 77072-5383
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Country | US
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Telephone | 832-288-2240
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Fax | 844-563-4309
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Provider Business Mailing Address
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Address Line | 4111 J ST STE 2
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City | HOUSTON
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State | TX
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Zip | 77072-5383
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Country | US
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Telephone | 832-288-2240
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Fax | 844-563-4309
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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