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General NPI Number Information
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NPI Number | 1063454916
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Entity Type | Individual
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Provider Name | JOSEPH DAVID SILVERSTEIN P.A.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 645 AERICK ST STE 3
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City | INGLEWOOD
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State | CA
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Zip | 90301-4884
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Country | US
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Telephone | 310-431-4926
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Fax | 310-431-4529
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Provider Business Mailing Address
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Address Line | 645 AERICK ST STE 3
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City | INGLEWOOD
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State | CA
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Zip | 90301-4884
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Country | US
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Telephone | 310-431-4926
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Fax | 805-493-5182
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16833
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License Number State | CA
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