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General NPI Number Information
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NPI Number | 1043654817
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Entity Type | Organization
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Legal Business Name | FRED SILVESTRI MD LLC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 1004 S OLD DIXIE HWY SUITE 303
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City | JUPITER
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State | FL
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Zip | 33458-7200
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Country | US
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Telephone | 561-263-2894
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Fax | 561-263-3485
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Provider Business Mailing Address
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Address Line | 1004 S OLD DIXIE HWY SUITE 303
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City | JUPITER
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State | FL
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Zip | 33458-7200
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Country | US
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Telephone | 561-748-2889
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Fax | 561-748-1523
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Authorized Official
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Title or Position | PRESIDENT, JUPITER PROFESSIONAL DEV
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Name | KAREN BARLOW
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Credential |
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Telephone | 561-748-2889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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