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General NPI Number Information
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NPI Number | 1497317085
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Entity Type | Individual
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Provider Name | SOL HAN DR.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 155 N DEAN ST STE 4C
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2524
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Country | US
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Telephone | 201-308-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 800 PARK AVE PH 2B
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City | FORT LEE
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State | NJ
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Zip | 07024-3784
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Country | US
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Telephone | 213-454-6752
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02775400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02775402
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License Number State | NJ
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