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General NPI Number Information
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NPI Number | 1497716393
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Entity Type | Individual
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Provider Name | TANYA M SOLIS MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 3201 S LOOP 256
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City | PALESTINE
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State | TX
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Zip | 75801-6901
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Country | US
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Telephone | 903-723-0600
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Fax | 903-723-6006
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Provider Business Mailing Address
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Address Line | PO BOX 4550
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City | PALESTINE
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State | TX
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Zip | 75802-4550
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Country | US
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Telephone | 903-723-0600
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Fax | 903-723-6006
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | L5569
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License Number State | TX
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