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General NPI Number Information
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NPI Number | 1750768768
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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 | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 1601 WALNUT ST SUITE 1014
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2944
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Country | US
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Telephone | 215-665-1518
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 WALNUT ST SUITE 1014
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2944
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Country | US
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Telephone | 215-665-1518
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. SCOTT SOLOW
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Credential | DDS
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Telephone | 215-665-1518
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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 |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | PA
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