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General NPI Number Information
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NPI Number | 1285077867
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Entity Type | Organization
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Legal Business Name | SOLACE MEDICAL, LLC
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 337 HALDEMAN DR
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5632
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Country | US
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Telephone | 412-345-7899
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Fax | 888-245-0250
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Provider Business Mailing Address
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Address Line | 20436 ROUTE 19 SUITE 620-255
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-7541
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Country | US
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Telephone | 412-345-7899
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Fax | 888-245-0250
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RHYS CHARLES THOMAS
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Credential |
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Telephone | 412-345-7899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6000007781
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License Number State | PA
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