MEDICARE: MS. KAREN E SOLOMON RN

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
1	163W00000X	Registered Nurse	R103882	MD

General Provider Information

NPI Number	:	1104049659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN E SOLOMON RN

Provider Business Mailing Address
First Line	:	4117 CENTURY TOWNE RD
Second Line	:
City	:	RANDALLSTOWN
State	:	MD
Zip	:	21133-4324
Country	:	US
Telephone Number	:	410-655-6829
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 W NORTH AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21217-1735
Country	:	US
Telephone Number	:	410-396-0187
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	07/08/2007

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