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NPI 1396328167

NPI 1396328167 : SOLOMED PLLC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1396328167
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOLOMED PLLC 
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Dates
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    Enumeration Date     |    04/29/2021
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    Last Update Date     |    04/29/2021
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Provider Practice Location Address
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    Address Line         |    8200 WALNUT HILL LN 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-4402
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    Country              |    US
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    Telephone            |    214-345-7500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4621 KELLNER PL 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-1906
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    Country              |    US
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    Telephone            |    972-612-2529
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EMPLOYEE
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    Name                 |     NAMITHA  GOVINDA 
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    Credential           |    
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    Telephone            |    972-612-2529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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