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General NPI Number Information
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NPI Number | 1346447240
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Entity Type | Organization
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Legal Business Name | SOLUBLE SYSTEMS, LLC
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 12050 JEFFERSON AVE SUITE 250
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4385
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Country | US
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Telephone | 757-635-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 12050 JEFFERSON AVE SUITE 250
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4385
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Country | US
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Telephone | 757-635-5400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALLAN R STALEY
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Credential |
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Telephone | 757-635-5400
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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 |
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License Number State |
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