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General NPI Number Information
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NPI Number | 1942734157
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Entity Type | Organization
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Legal Business Name | RONALD J SOLOMON DDS ANGELA OTT DDS, INC
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 4030 SMITH RD SUITE 110
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City | CINCINNATI
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State | OH
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Zip | 45209-1957
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Country | US
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Telephone | 513-631-8920
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Fax | 513-631-8921
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Provider Business Mailing Address
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Address Line | 4030 SMITH RD SUITE 110
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City | CINCINNATI
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State | OH
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Zip | 45209-1957
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Country | US
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Telephone | 513-631-8920
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Fax | 513-631-8921
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Authorized Official
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Title or Position | PRESIDENT/DENTIST OWNER
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Name | DR. RONALD JAY SOLOMON
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Credential | D.D.S.
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Telephone | 513-631-8920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 15376
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License Number State | OH
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