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General NPI Number Information
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NPI Number | 1831296391
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Entity Type | Individual
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Provider Name | RONALD RAY SOLOMON DC
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Gender | Male
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1102 C ST
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City | BRIDGETON
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State | NC
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Zip | 28519
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Country | US
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Telephone | 252-514-0333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65
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City | BRIDGETON
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State | NC
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Zip | 28519-0065
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Country | US
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Telephone | 252-670-7523
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3532
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License Number State | NC
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