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General NPI Number Information
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NPI Number | 1023303245
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Entity Type | Individual
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Provider Name | JONATHAN AURELIO SILVA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 2200 S HOUGHTON RD
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City | TUCSON
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State | AZ
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Zip | 85748-7632
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Country | US
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Telephone | 520-543-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 101 WILLMAR AVE SW
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City | WILLMAR
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State | MN
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Zip | 56201-3556
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Country | US
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Telephone | 320-231-5079
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Fax | 320-231-5067
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 557751
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 59983
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License Number State | MN
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