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General NPI Number Information
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NPI Number | 1285748632
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Entity Type | Individual
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Provider Name | ALICIA J SOLTYS P.A.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 37 N FULLERTON AVE THE PLASTIC SURGERY GROUP
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3426
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Country | US
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Telephone | 973-233-1933
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Fax | 973-233-1934
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Provider Business Mailing Address
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Address Line | 37 N FULLERTON AVE THE PLASTIC SURGERY GROUP
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3426
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Country | US
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Telephone | 973-233-1933
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Fax | 973-233-1934
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 25MP00118400
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License Number State | NJ
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