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NPI 1457581589

NPI 1457581589 : ROY SOLANO MD : PONTIAC, MI

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General NPI Number Information
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    NPI Number           |    1457581589
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    Entity Type          |    Individual 
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    Provider Name        |    ROY SOLANO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/23/2009
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    Last Update Date     |    04/24/2018
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Provider Practice Location Address
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    Address Line         |    44405 WOODWARD AVE ATTN: EMERGENCY DEPARTMENT ADMINISTRATION
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    City                 |    PONTIAC
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    State                |    MI
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    Zip                  |    48341-5023
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    Country              |    US
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    Telephone            |    248-758-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 100 
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    City                 |    ROYAL OAK
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    State                |    MI
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    Zip                  |    48068-0100
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    Country              |    US
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    Telephone            |    248-849-3137
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    Fax                  |    248-849-2052
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    207780
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    License Number State |    LA
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    4301094565
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    P7210
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    License Number State |    TX
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