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General NPI Number Information
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NPI Number | 1790483618
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Entity Type | Individual
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Provider Name | OLIVIA SOLOMON M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 10565 HAGEN RANCH RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3719
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Country | US
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Telephone | 561-926-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 6606 VILLA SONRISA DR APT 921
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City | BOCA RATON
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State | FL
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Zip | 33433-4009
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Country | US
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Telephone | 561-926-1101
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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 | 20825
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License Number State | FL
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