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General NPI Number Information
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NPI Number | 1346443447
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Entity Type | Individual
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Provider Name | SOLOMON MO L.AC.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2140 W VALLEY BLVD #B
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City | ALHAMBRA
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State | CA
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Zip | 91803-1926
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Country | US
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Telephone | 626-284-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 818 W HUNTINGTON DR #14
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City | ARCADIA
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State | CA
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Zip | 91007-6673
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Country | US
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Telephone | 626-272-9043
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 11598
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License Number State | CA
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