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General NPI Number Information
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NPI Number | 1770167462
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Entity Type | Organization
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Legal Business Name | MD HEALTH RX SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/08/2021
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 3150 PARADISE RD
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City | LAS VEGAS
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State | NV
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Zip | 89109-9096
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Country | US
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Telephone | 727-601-4513
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Fax |
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Provider Business Mailing Address
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Address Line | 14105 MCCORMICK DR
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City | TAMPA
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State | FL
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Zip | 33626-3019
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Country | US
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Telephone | 727-601-4513
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Fax |
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Authorized Official
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Title or Position | APRN, FNP-BC
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Name | KRYSTAL SOLIE
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Credential |
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Telephone | 727-601-4513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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