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General NPI Number Information
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NPI Number | 1962122465
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Entity Type | Organization
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Legal Business Name | SOLTANE THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 224 NANTMEAL RD
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City | GLENMOORE
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State | PA
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Zip | 19343-2637
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Country | US
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Telephone | 610-469-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 224 NANTMEAL RD
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City | GLENMOORE
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State | PA
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Zip | 19343-2637
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Country | US
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Telephone | 610-469-0933
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. JOLYNN HANEY
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Credential | LSW
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Telephone | 610-212-6793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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