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General NPI Number Information
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NPI Number | 1659631406
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Entity Type | Organization
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Legal Business Name | DR. EDEN SOLIMAN
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 631 FAIRVIEW RD
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City | SOUTH ABINGTON TOWNSHIP
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State | PA
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Zip | 18411-8913
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Country | US
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Telephone | 570-587-1560
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Fax | 570-586-5922
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Provider Business Mailing Address
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Address Line | 631 FAIRVIEW RD
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City | SOUTH ABINGTON TOWNSHIP
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State | PA
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Zip | 18411-8913
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Country | US
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Telephone | 570-587-1560
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Fax | 570-586-5922
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. EDEN DANIEL SOLIMAN
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Credential | B.D.S.
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Telephone | 570-587-1560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | DS-020886-L
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License Number State | PA
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