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General NPI Number Information
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NPI Number | 1386727162
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Entity Type | Individual
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Provider Name | GARY A SOLOMON M.D., INC.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 2880 ATLANTIC AVE SUITE 210
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City | LONG BEACH
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State | CA
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Zip | 90806-1714
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Country | US
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Telephone | 562-424-7787
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Fax | 562-424-7758
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Provider Business Mailing Address
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Address Line | 2880 ATLANTIC AVE SUITE 210
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City | LONG BEACH
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State | CA
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Zip | 90806-1714
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Country | US
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Telephone | 562-424-7787
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Fax | 562-424-7758
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | C42316
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License Number State | CA
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