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General NPI Number Information
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NPI Number | 1285710483
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Entity Type | Organization
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Legal Business Name | SOLL EYE PC OF PA
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10160 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3749
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Country | US
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Telephone | 215-934-7655
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Fax | 215-934-6278
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Provider Business Mailing Address
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Address Line | 5001 FRANKFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-2619
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Country | US
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Telephone | 215-288-5000
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Fax | 215-744-1233
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Authorized Official
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Title or Position | M.D.
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Name | DR. STEPHEN M SOLL
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Credential | M.D.
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Telephone | 215-288-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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