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General NPI Number Information
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NPI Number | 1396887014
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Entity Type | Organization
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Legal Business Name | ALAN R SOLL OD PA
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2837 BANEBERRY CT
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City | BALTIMORE
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State | MD
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Zip | 21209-3826
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Country | US
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Telephone | 410-960-1314
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Fax | 443-378-7457
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Provider Business Mailing Address
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Address Line | 2837 BANEBERRY CT
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City | BALTIMORE
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State | MD
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Zip | 21209-3826
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Country | US
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Telephone | 410-960-1314
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Fax | 443-378-7457
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN RICHARD SOLL
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Credential | O.D.
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Telephone | 410-960-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | TA1093
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License Number State | MD
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