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General NPI Number Information
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NPI Number | 1023030335
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Entity Type | Individual
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Provider Name | STEPHEN JOHN SILHAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 390 1ST AVE MG
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City | NEW YORK
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State | NY
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Zip | 10010-4933
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Country | US
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Telephone | 212-673-1872
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Fax |
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Provider Business Mailing Address
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Address Line | 19 STUYVESANT OVAL 8F
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City | NEW YORK
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State | NY
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Zip | 10009-2020
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Country | US
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Telephone | 212-254-7713
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 34463
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License Number State | NY
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