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General NPI Number Information
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NPI Number | 1437816188
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Entity Type | Organization
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Legal Business Name | SOLOMON PODIATRY PC
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 6 E 39TH ST STE 1000
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City | NEW YORK
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State | NY
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Zip | 10016-0112
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Country | US
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Telephone | 770-715-3298
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Fax |
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Provider Business Mailing Address
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Address Line | 31 KOSCIUSZKO ST APT 7A
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City | BROOKLYN
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State | NY
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Zip | 11205-5078
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SOPHIA SOLOMON
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Credential |
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Telephone | 770-715-3298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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