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General NPI Number Information
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NPI Number | 1760504690
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Entity Type | Individual
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Provider Name | DENISE MARIE SOLOMON MCD, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2200 VETERANS MEMORIAL BLVD SUITE 103
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City | KENNER
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State | LA
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Zip | 70062-4001
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Country | US
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Telephone | 504-461-4266
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Fax | 504-461-9976
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Provider Business Mailing Address
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Address Line | 6B RUE CHARDONNAY
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City | KENNER
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State | LA
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Zip | 70065-5384
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Country | US
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Telephone | 504-466-8273
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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 | 4854
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License Number State | LA
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