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General NPI Number Information
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NPI Number | 1356055784
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Entity Type | Organization
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Legal Business Name | SOLEIL VISION
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 10350 FEDERAL BLVD UNIT 500
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City | FEDERAL HEIGHTS
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State | CO
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Zip | 80260-8617
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Country | US
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Telephone | 720-831-9234
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 FEDERAL BLVD UNIT 500
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City | FEDERAL HEIGHTS
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State | CO
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Zip | 80260-8617
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Country | US
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Telephone | 720-831-9234
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RUBEN MATHEW NOLASCO
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Credential |
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Telephone | 720-227-5192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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