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General NPI Number Information
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NPI Number | 1518107713
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Entity Type | Organization
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Legal Business Name | DR. INGRID SOLOMON INC.
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 2821 NE 163RD ST APT 3J
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4430
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Country | US
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Telephone | 305-949-2158
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Fax |
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Provider Business Mailing Address
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Address Line | 2821 NE 163RD ST APT 3J
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4430
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Country | US
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Telephone | 305-949-2158
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. INGRID PATRICIA SOLOMON
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Credential | D.O.
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Telephone | 305-949-2158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | OS8956
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | OS8956
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License Number State | FL
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