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General NPI Number Information
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NPI Number | 1861410409
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Entity Type | Individual
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Provider Name | ERICA GRACE SOLOMON RPH
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5317 W ATLANTIC AVE SUITE 104
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8175
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Country | US
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Telephone | 561-496-6032
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Fax | 561-637-4944
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Provider Business Mailing Address
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Address Line | 3964 COCOPLUM CIR UNIT C
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City | COCONUT CREEK
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State | FL
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Zip | 33063-5956
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Country | US
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Telephone | 954-984-0101
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS31883
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License Number State | FL
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