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General NPI Number Information
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NPI Number | 1669262192
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Entity Type | Organization
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Legal Business Name | SOLO OPTICA LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | PLAZA DEL MERCADO DR LEOPOLDO FIGUEROA LOCAL 2 Y 3
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City | CATANO
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State | PR
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Zip | 00963
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Country | US
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Telephone | 787-966-0075
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Fax |
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Provider Business Mailing Address
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Address Line | RR 8 BOX 1995 PMB 121
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-200-4677
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD PAGAN
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Credential |
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Telephone | 787-200-4677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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