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General NPI Number Information
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NPI Number | 1043666803
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Entity Type | Organization
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Legal Business Name | SILVA HEALTHCARE DIVISION
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Dates
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Enumeration Date | 05/11/2016
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Last Update Date | 05/11/2016
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Provider Practice Location Address
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Address Line | 81 TOWN GREEN DR
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City | ELMSFORD
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State | NY
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Zip | 10523-2315
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Country | US
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Telephone | 305-978-5683
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746
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City | ELMSFORD
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State | NY
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Zip | 10523-0746
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Country | US
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Telephone | 305-978-5683
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Fax |
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Authorized Official
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Title or Position | OPHTHALMIC DISPENSER
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Name | DR. JORGE E SILVA JR.
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Credential | LDO
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Telephone | 305-978-5683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 009867
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License Number State | NY
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