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General NPI Number Information
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NPI Number | 1326455387
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Entity Type | Organization
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Legal Business Name | SOL PEDIATRICS LLC
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 255 WESTWARD DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5259
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Country | US
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Telephone | 786-621-9777
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Fax |
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Provider Business Mailing Address
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Address Line | 255 WESTWARD DR
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5259
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Country | US
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Telephone | 786-621-9777
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AGUSTIN RIVAS
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Credential |
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Telephone | 256-412-0478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME-100281
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License Number State | FL
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