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General NPI Number Information
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NPI Number | 1629620232
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Entity Type | Individual
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Provider Name | MAYER SOLIMAN
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Gender | Male
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Dates
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Enumeration Date | 07/13/2019
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Last Update Date | 07/13/2019
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Provider Practice Location Address
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Address Line | 3824 MAIN ST
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City | ANDERSON
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State | IN
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Zip | 46013-4718
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Country | US
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Telephone | 765-640-4398
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Fax |
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Provider Business Mailing Address
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Address Line | 15118 BLUE RIBBON BLVD
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City | FISHERS
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State | IN
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Zip | 46040-1380
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26024563A
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License Number State | IN
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