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General NPI Number Information
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NPI Number | 1992256903
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Entity Type | Organization
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Legal Business Name | SOLOMON CLINIC OF PLASTIC SURGERY, PLLC
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 12655 N CENTRAL EXPY SUITE 650
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City | DALLAS
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State | TX
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Zip | 75243-1700
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Country | US
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Telephone | 214-234-0277
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Fax | 972-474-9045
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Provider Business Mailing Address
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Address Line | 12655 N CENTRAL EXPY SUITE 650
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City | DALLAS
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State | TX
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Zip | 75243-1700
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Country | US
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Telephone | 214-234-0277
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Fax | 972-474-9045
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Authorized Official
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Title or Position | OWNER OF PRACTICE
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Name | DR. MATTHIAS SOLOMON
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Credential | MD
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Telephone | 507-250-7803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | P3587
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License Number State | TX
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