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General NPI Number Information
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NPI Number | 1396313953
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Entity Type | Individual
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Provider Name | KAY CHANDLER SOLOMON LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 800 W CAMPBELL RD
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City | RICHARDSON
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State | TX
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Zip | 75080-3021
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Country | US
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Telephone | 972-883-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 EAGLE LAKE CT
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City | WYLIE
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State | TX
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Zip | 75098-4898
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Country | US
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Telephone | 903-681-9102
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 104928
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License Number State | TX
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