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General NPI Number Information
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NPI Number | 1013040807
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Entity Type | Individual
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Provider Name | JESSICA SILVA PT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 16 E 48TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 212-206-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 212 E 83RD ST APT 4B
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City | NEW YORK
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State | NY
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Zip | 10028-2849
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Country | US
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Telephone | 401-714-5681
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 028608
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License Number State | NY
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