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General NPI Number Information
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NPI Number | 1487937371
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Entity Type | Individual
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Provider Name | SOLOMON SUND D.M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 1601 WALNUT ST 402 MEDICAL ARTS BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2944
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Country | US
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Telephone | 415-572-6217
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Fax |
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Provider Business Mailing Address
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Address Line | 326 S 19TH ST APT 4A
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City | PHILADELPHIA
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State | PA
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Zip | 19103-6628
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Country | US
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Telephone | 415-572-6217
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 62611
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS038716
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License Number State | PA
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