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General NPI Number Information
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NPI Number | 1003121666
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Entity Type | Individual
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Provider Name | DINA SOLANKY O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 3929 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032-1538
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Country | US
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Telephone | 212-568-4693
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Fax | 212-568-4694
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Provider Business Mailing Address
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Address Line | 232 MONTGOMERY ST APT 3
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City | JERSEY CITY
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State | NJ
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Zip | 07302-4063
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Country | US
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Telephone | 407-625-8892
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 007627
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License Number State | NY
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