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General NPI Number Information
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NPI Number | 1346641867
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Entity Type | Individual
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Provider Name | JESSICA BRE' SOLIS D.C.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 9107 SE 29TH ST STE B
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City | MIDWEST CITY
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State | OK
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Zip | 73130-7163
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Country | US
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Telephone | 405-604-7368
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Fax |
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Provider Business Mailing Address
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Address Line | 9107 SE 29TH ST STE B
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City | MIDWEST CITY
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State | OK
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Zip | 73130-7163
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Country | US
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Telephone | 405-739-0594
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Fax | 405-739-0596
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 115025
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License Number State | TX
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