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General NPI Number Information
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NPI Number | 1851902159
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Entity Type | Organization
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Legal Business Name | SOLUTION LLC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 7863 BROADWAY STE 217
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5517
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Country | US
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Telephone | 219-237-0503
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Fax | 877-766-1714
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Provider Business Mailing Address
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Address Line | 7863 BROADWAY STE 217
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5517
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Country | US
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Telephone | 219-237-0503
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Fax | 877-766-1714
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Authorized Official
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Title or Position | CEO
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Name | MS. BRIDJETT R GASSAWAY
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Credential | FNP
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Telephone | 219-237-0503
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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