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General NPI Number Information
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NPI Number | 1538565692
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Entity Type | Individual
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Provider Name | BURTON SOLOMON JR. REGISTERED NURSE
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Gender | Male
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 101 E COLLEGE AVE STE 102
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City | WESTERVILLE
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State | OH
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Zip | 43081-1609
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Country | US
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Telephone | 614-887-6573
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Fax |
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Provider Business Mailing Address
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Address Line | 1289 SMOKE BURR DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-4509
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Country | US
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Telephone | 614-887-6573
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 401693781014
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | RN440864
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN440864
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN440864
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN440864
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN440864
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License Number State | OH
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