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General NPI Number Information
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NPI Number | 1316360423
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Entity Type | Individual
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Provider Name | IDALMIS C SOLER SLP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 14331 SW 120TH ST STE 110
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City | MIAMI
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State | FL
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Zip | 33186-7298
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Country | US
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Telephone | 305-615-5037
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Fax |
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Provider Business Mailing Address
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Address Line | 55 FAIRWAY DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5871
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Country | US
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Telephone | 786-732-6983
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA14096
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License Number State | FL
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