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General NPI Number Information
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NPI Number | 1821020421
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Entity Type | Organization
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Legal Business Name | SOLIS HEALTHCARE, LP
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | 5800 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1737
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Country | US
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Telephone | 215-487-4245
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Fax | 215-487-4274
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Provider Business Mailing Address
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Address Line | 5800 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128-1737
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Country | US
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Telephone | 215-487-4245
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Fax | 215-487-4274
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JOHN J DONNELLY JR.
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Credential | CPA
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Telephone | 215-487-4245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 910401
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License Number State | PA
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