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General NPI Number Information
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NPI Number | 1609638964
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Entity Type | Individual
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Provider Name | MARY SOLOSKI
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Gender | Female
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 425 S CHERRY ST STE 645
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City | DENVER
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State | CO
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Zip | 80246-1256
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Country | US
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Telephone | 303-955-5471
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Fax |
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Provider Business Mailing Address
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Address Line | 101 N GRANT ST UNIT 407
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City | DENVER
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State | CO
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Zip | 80203-4053
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SAH-2024-0007
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP.0005728
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License Number State | CO
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