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General NPI Number Information
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NPI Number | 1366224487
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Entity Type | Organization
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Legal Business Name | SOLAY DENTAL PA
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 3144 TAMPA RD STE 3
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City | OLDSMAR
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State | FL
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Zip | 34677-2290
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Country | US
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Telephone | 727-781-6224
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Fax |
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Provider Business Mailing Address
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Address Line | 3144 TAMPA RD STE 3
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City | OLDSMAR
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State | FL
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Zip | 34677-2290
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Country | US
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Telephone | 727-781-6224
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Fax |
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Authorized Official
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Title or Position | CCO
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Name | DR. SHIVA SOLEIMANI
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Credential | DDS
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Telephone | 301-366-6037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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