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General NPI Number Information
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NPI Number | 1669560108
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Entity Type | Organization
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Legal Business Name | SOLL EYE PC OF NJ
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 3 COOPER PLZ SUITE 510
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-342-7200
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Fax | 856-342-6620
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Provider Business Mailing Address
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Address Line | 5001 FRANKFORD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19124-2619
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Country | US
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Telephone | 215-288-5000
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Fax | 215-744-1233
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Authorized Official
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Title or Position | M.D.
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Name | DR. STEPHEN M SOLL
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Credential | M.D.
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Telephone | 215-288-5000
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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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