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General NPI Number Information
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NPI Number | 1831984269
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Entity Type | Organization
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Legal Business Name | SOLIS MEDICAL GROUP PC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 341 EVIAN WAY
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City | MT PLEASANT
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State | SC
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Zip | 29464-9261
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Country | US
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Telephone | 313-392-3234
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Fax |
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Provider Business Mailing Address
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Address Line | 6659 SCHAEFER RD STE 155
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City | DEARBORN
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State | MI
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Zip | 48126-1812
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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 | MSO
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Name | ALI ZREIK
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Credential |
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Telephone | 313-392-3234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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