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General NPI Number Information
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NPI Number | 1356513907
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Entity Type | Organization
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Legal Business Name | DAVID M. SOLL, O.D., P.C.
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 8 WILTSHIRE RD
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City | BRIGHTON
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State | MA
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Zip | 02135-3937
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Country | US
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Telephone | 617-620-4565
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Fax | 888-838-8947
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Provider Business Mailing Address
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Address Line | 8 WILTSHIRE RD
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City | BRIGHTON
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State | MA
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Zip | 02135-3937
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Country | US
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Telephone | 617-620-4565
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Fax | 888-838-8947
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. DAVID M. SOLL
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Credential | O.D.
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Telephone | 617-620-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2603
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License Number State | MA
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