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General NPI Number Information
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NPI Number | 1518037365
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Entity Type | Individual
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Provider Name | MARIANA SOLANGEL MD
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 4900 W OAKLAND PARK BLVD STE 105
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1555
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Country | US
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Telephone | 844-665-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 N FEDERAL HWY # 179
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1422
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Country | US
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Telephone | 424-262-2672
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MFC1607
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME 103343
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License Number State | FL
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