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General NPI Number Information
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NPI Number | 1518588649
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Entity Type | Individual
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Provider Name | CARLOS MANUEL SOLANO ALMONTE
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Gender | Male
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Dates
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Enumeration Date | 04/29/2020
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 7725 LAKE WORTH RD STE F3
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City | LAKE WORTH
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State | FL
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Zip | 33467
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Country | US
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Telephone | 561-359-6483
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Fax |
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Provider Business Mailing Address
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Address Line | 7725 LAKE WORTH RD STE F3
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City | LAKE WORTH
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State | FL
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Zip | 33467-2536
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN26802
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.032655
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License Number State | IL
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