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Individual
BARRY DOUGLAS SOLOMON
Active
Individual
BARRY DOUGLAS SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600500300
—
MD
05
—
600500303
—
MD
Enumeration date
09/21/2012
Last updated
09/21/2012
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