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General NPI Number Information
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NPI Number | 1861075160
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Entity Type | Individual
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Provider Name | JULIA ZOFIA SOLAREWICZ DDS
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 635 ALBANY ST BOSTON UNIVERSITY ORTHODONTICS
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City | BOSTON
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State | MA
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Zip | 02118
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Country | US
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Telephone | 617-358-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 3438 BROOKHOLLOW DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9231
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Country | US
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Telephone | 616-818-6516
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DM1858911
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License Number State | MA
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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 | DN1858911
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License Number State | MA
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