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NPI Code Detail

MEDICARE: ALICE SOLADEMI-DUNKLE

MEDICARE: ALICE SOLADEMI-DUNKLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician0102206970VA

General Provider Information

NPI Number : 1083144208
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE SOLADEMI-DUNKLE
Provider Business Mailing Address
First Line : 16890 FOREST RD
Second Line :
City : FOREST
State : VA
Zip : 24551-4059
Country : US
Telephone Number : 434-200-7210
Fax Number : 434-525-2138
Provider Business Practice Location Address
First Line : 16890 FOREST RD
Second Line :
City : FOREST
State : VA
Zip : 24551-4059
Country : US
Telephone Number : 434-200-7210
Fax Number : 434-525-2138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 08/18/2023

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Directions to “ ALICE SOLADEMI-DUNKLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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