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General NPI Number Information
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NPI Number | 1497573018
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Entity Type | Individual
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Provider Name | CARLIE JEAN SOLDANO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 207 FOOTE AVE UNIT 3B
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City | JAMESTOWN
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State | NY
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Zip | 14701-7077
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Country | US
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Telephone | 716-664-8101
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Fax | 716-485-7407
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Provider Business Mailing Address
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Address Line | 207 FOOTE AVE UNIT 3B
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City | JAMESTOWN
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State | NY
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Zip | 14701-7077
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Country | US
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Telephone | 716-664-8101
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Fax | 716-485-7407
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355238
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License Number State | NY
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