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General NPI Number Information
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NPI Number | 1003901380
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Entity Type | Organization
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Legal Business Name | SILVER GROUP CHIROPRACTIC, INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 3283 MALCOLM DR
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City | MONTGOMERY
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State | AL
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Zip | 36116-8816
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Country | US
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Telephone | 334-356-1111
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Fax | 334-356-9873
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Provider Business Mailing Address
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Address Line | PO BOX 241467
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City | MONTGOMERY
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State | AL
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Zip | 36124-1467
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Country | US
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Telephone | 334-356-1111
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Fax | 334-356-9873
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN P SILVER
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Credential |
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Telephone | 334-356-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | A0009
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License Number State | AL
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