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Individual
EBERECHI ANN SOLOMON
Active
Individual
EBERECHI ANN SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
693892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189425501
—
TX
01
—
8Y3498
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/27/2007
Last updated
02/15/2012
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