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General NPI Number Information
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NPI Number | 1699870535
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Entity Type | Organization
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Legal Business Name | SOLANO OPTICAL CO., INC.
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | 3531A JUNCTION BLVD
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City | CORONA
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State | NY
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Zip | 11368-1742
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Country | US
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Telephone | 718-478-2979
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Fax |
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Provider Business Mailing Address
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Address Line | 3531A JUNCTION BLVD
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City | CORONA
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State | NY
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Zip | 11368-1742
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Country | US
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Telephone | 718-478-2979
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN E SOLANO
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Credential | OPTICIAN
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Telephone | 917-771-4269
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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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