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General NPI Number Information
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NPI Number | 1518082163
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Entity Type | Organization
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Legal Business Name | JAMES L SOLTYS DDS
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 105 W MAIN ST
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City | VICTOR
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State | NY
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Zip | 14564-1140
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Country | US
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Telephone | 585-924-4180
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Fax | 585-924-9989
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Provider Business Mailing Address
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Address Line | 105 W MAIN ST
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City | VICTOR
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State | NY
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Zip | 14564-1140
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Country | US
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Telephone | 585-924-4180
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Fax | 585-924-9989
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Authorized Official
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Title or Position | PRESIDENT - OWNER
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Name | DR. JAMES LEON SOLTYS
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Credential | D.D.S.
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Telephone | 585-924-4180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 036061
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License Number State | NY
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