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NPI 1174513568

NPI 1174513568 : ALBERT PHILLIP SOLOMON DDS : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1174513568
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    Entity Type          |    Individual 
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    Provider Name        |    ALBERT PHILLIP SOLOMON DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2005
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    Last Update Date     |    12/28/2025
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Provider Practice Location Address
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    Address Line         |    805 BATTLEFIELD BLVD N STE 125
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4878
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    Country              |    US
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    Telephone            |    757-547-2171
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    Fax                  |    757-547-9644
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Provider Business Mailing Address
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    Address Line         |    805 BATTLEFIELD BLVD N STE 125
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4878
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    Country              |    US
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    Telephone            |    757-547-2171
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    Fax                  |    757-547-9644
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    0401004303
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    License Number State |    VA
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