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General NPI Number Information
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NPI Number | 1336807536
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Entity Type | Individual
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Provider Name | POLA SOLIMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 12/04/2021
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Last Update Date | 12/04/2021
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Provider Practice Location Address
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Address Line | 500 RICHLAND BLVD
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City | PROSPER
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State | TX
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Zip | 75078-7275
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Country | US
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Telephone | 972-347-4967
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Fax |
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Provider Business Mailing Address
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Address Line | 205 BENTON DR APT 7201
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City | ALLEN
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State | TX
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Zip | 75013-8588
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Country | US
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Telephone | 214-694-8520
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 69554
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License Number State | TX
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