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General NPI Number Information
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NPI Number | 1841748217
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Entity Type | Organization
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Legal Business Name | SOL DENTAL PA.
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 14750 SW 26TH ST SUITE # 210
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City | MIAMI
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State | FL
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Zip | 33185-5933
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Country | US
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Telephone | 305-400-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 14750 SW 26TH ST SUITE # 210
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City | MIAMI
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State | FL
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Zip | 33185-5933
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Country | US
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Telephone | 305-400-8060
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST/ OWNER
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Name | RAMON ANTONIO RODRIGUEZ
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Credential | DMD
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Telephone | 305-400-8060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN-13470
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 18940
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License Number State | FL
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