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General NPI Number Information
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NPI Number | 1770242489
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Entity Type | Individual
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Provider Name | RENE ANN SOLEM FNP-B
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Gender | Female
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 565 ABBOTT RB
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City | BUFFALO
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State | NY
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Zip | 14220
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Country | US
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Telephone | 716-680-3761
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Fax |
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Provider Business Mailing Address
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Address Line | 5077 ROUTE 353
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City | SALAMANCA
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State | NY
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Zip | 14779-9782
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349022
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 349022
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License Number State | NY
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