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General NPI Number Information
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NPI Number | 1033235130
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Entity Type | Individual
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Provider Name | ROBERT LOUIS DASILVA D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 148 NORTH RD
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City | EAST WINDSOR
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State | CT
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Zip | 06088-9502
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Country | US
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Telephone | 860-627-5232
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Fax | 860-627-4955
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Provider Business Mailing Address
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Address Line | 12 KELLY DR
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City | ENFIELD
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State | CT
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Zip | 06082-5779
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Country | US
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Telephone | 860-741-3467
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Fax | 860-627-4955
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5781
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License Number State | CT
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