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General NPI Number Information
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NPI Number | 1851493456
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Entity Type | Individual
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Provider Name | DAVID ROY SOLLENBERGER O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1636 ROUTE 38 STE 45
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City | LUMBERTON
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State | NJ
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Zip | 08048-2988
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Country | US
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Telephone | 609-267-2728
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Fax | 609-267-0475
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Provider Business Mailing Address
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Address Line | 218 PLYMOUTH PL
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City | MERCHANTVILLE
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State | NJ
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Zip | 08109-2835
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Country | US
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Telephone | 856-910-0197
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Fax | 856-910-0197
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00562100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001590
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License Number State | PA
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