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General NPI Number Information
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NPI Number | 1962889907
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Entity Type | Individual
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Provider Name | SHANE SOLGER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 80 SEYMOUR STREET CONKLIN BUILDING, ROOM 130
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City | HARTFORD
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State | CT
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Zip | 06102
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Country | US
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Telephone | 860-972-1448
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Fax |
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Provider Business Mailing Address
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Address Line | 80 SEYMOUR ST CONKLIN BUILDING, ROOM 130
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City | HARTFORD
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State | CT
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Zip | 06106-3300
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Country | US
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Telephone | 860-545-5000
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 329335
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 80483
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 80483
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License Number State | CT
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