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General NPI Number Information
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NPI Number | 1811619620
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Entity Type | Organization
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Legal Business Name | SOLANTRA HEALTH, PLLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 120 WIND CHIME CT
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City | RALEIGH
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State | NC
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Zip | 27615-6433
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Country | US
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Telephone | 919-694-1550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 97412
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City | RALEIGH
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State | NC
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Zip | 27624-7412
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Country | US
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Telephone | 919-694-1550
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. SHAKIEDA ANDREWS
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Credential | RN
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Telephone | 919-694-1550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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