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General NPI Number Information
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NPI Number | 1033526777
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Entity Type | Individual
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Provider Name | GARIS SILEGA DR
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Gender | Male
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 180 S ORANGE AVE APT 1405
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City | NEWARK
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State | NJ
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Zip | 07103-2766
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Country | US
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Telephone | 973-900-6397
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Fax | 877-991-4799
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Provider Business Mailing Address
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Address Line | 180 S ORANGE AVE APT 1405
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City | NEWARK
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State | NJ
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Zip | 07103-2766
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Country | US
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Telephone | 973-900-6397
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Fax | 877-991-4799
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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Taxonomy #4
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Taxonomy Code | 226300000X
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Taxonomy Name | Kinesiotherapist
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License Number |
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Taxonomy #5
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Taxonomy Code | 2279E1000X
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Taxonomy Name | Educational Registered Respiratory Therapist
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License Number |
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License Number State |
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