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General NPI Number Information
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NPI Number | 1942307426
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Entity Type | Organization
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Legal Business Name | MRS. LAXMI SOLANKI CDN PLLC
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 4 GREENE ROAD
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City | TAPPAN
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State | NY
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Zip | 10983-1207
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Country | US
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Telephone | 845-591-0367
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Fax | 845-810-7770
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Provider Business Mailing Address
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Address Line | 4 GREENE ROAD
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City | TAPPAN
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State | NY
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Zip | 10983-1207
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Country | US
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Telephone | 845-591-0367
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Fax | 845-810-7770
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Authorized Official
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Title or Position | MEDICAL NUTRITION THERAPY
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Name | LAXMI SOLANKI
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Credential | CDN,RD
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Telephone | 845-591-0367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 587010
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License Number State | IL
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