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General NPI Number Information
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NPI Number | 1023598539
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Entity Type | Organization
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Legal Business Name | SILVER GUARDIAN INC
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 30 OAKWOOD AVE LOWR LEVEL
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City | NORWALK
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State | CT
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Zip | 06850-1318
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Country | US
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Telephone | 203-900-8020
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Fax | 203-354-3096
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Provider Business Mailing Address
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Address Line | 30 OAKWOOD AVE LOWR LEVEL
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City | NORWALK
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State | CT
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Zip | 06850-1318
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Country | US
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Telephone | 203-900-8020
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Fax | 203-354-3096
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVEN MONTANO
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Credential | OWNER
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Telephone | 203-900-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HCA.0000942
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License Number State | CT
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