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NPI 1538327945

NPI 1538327945 : JULIE ANNE SOLOMON PA-C : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1538327945
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    Entity Type          |    Individual 
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    Provider Name        |    JULIE ANNE SOLOMON PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2008
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    Last Update Date     |    07/01/2025
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Provider Practice Location Address
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    Address Line         |    593 EDDY ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02903-4923
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    Country              |    US
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    Telephone            |    401-444-4471
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    Fax                  |    401-444-7574
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Provider Business Mailing Address
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    Address Line         |    593 EDDY ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02903-4923
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    Country              |    US
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    Telephone            |    401-444-4471
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    Fax                  |    401-444-7574
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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        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    AL2077
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    PA9107485
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA9107485
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA01703
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    License Number State |    RI
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