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General NPI Number Information
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NPI Number | 1225297328
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Entity Type | Individual
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Provider Name | MR. DAVID A SOLT
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Gender | Male
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 1225 RAIDER WAY
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City | TOMS RIVER
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State | NJ
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Zip | 08753-4576
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Country | US
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Telephone | 732-505-5665
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Fax |
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Provider Business Mailing Address
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Address Line | 204 LILLIE RD
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7217
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Country | US
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Telephone | 732-929-9136
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00008800
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License Number State | NJ
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