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General NPI Number Information
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NPI Number | 1750760013
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Entity Type | Organization
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Legal Business Name | DR. STEVEN SOLOW DMD PC
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 607 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2311
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Country | US
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Telephone | 215-925-6251
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Fax |
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Provider Business Mailing Address
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Address Line | 990 CITY AVE
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City | WYNNEWOOD
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State | PA
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Zip | 19096-4005
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Country | US
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Telephone | 610-649-8383
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SCOTT SOLOW
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Credential | DDS
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Telephone | 610-304-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS028631L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS017405L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS019948L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS038347
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License Number State | PA
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