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General NPI Number Information
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NPI Number | 1346845054
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Entity Type | Organization
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Legal Business Name | DANA SOLER NP IN ADULT HEALTH, P.C.
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 1001 HAWKINS AVE UNIT 265
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City | LAKE GROVE
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State | NY
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Zip | 11755-5012
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Country | US
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Telephone | 631-445-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 HAWKINS AVE UNIT 265
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City | LAKE GROVE
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State | NY
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Zip | 11755-5012
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Country | US
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Telephone | 631-319-4114
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA SOLER
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Credential | NP
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Telephone | 631-445-7277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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