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General NPI Number Information
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NPI Number | 1740570019
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Entity Type | Individual
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Provider Name | SCARLETT ANN SOLOMON PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 101 LAUREL AVE
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City | COEBURN
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State | VA
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Zip | 24230-3529
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Country | US
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Telephone | 276-395-5396
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Fax | 276-395-7928
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Provider Business Mailing Address
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Address Line | PO BOX 3332
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City | WISE
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State | VA
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Zip | 24293-3332
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Country | US
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Telephone | 276-328-4663
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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 | 0202010459
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License Number State | VA
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