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General NPI Number Information
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NPI Number | 1104142637
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Entity Type | Organization
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Legal Business Name | DANIEL J SILVA-THWAITES MD INC.
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 4368 SPYRES WAY
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City | MODESTO
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State | CA
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Zip | 95356-9259
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Country | US
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Telephone | 209-578-6300
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Fax | 209-541-3373
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Provider Business Mailing Address
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Address Line | 4368 SPYRES WAY
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City | MODESTO
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State | CA
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Zip | 95356-9259
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Country | US
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Telephone | 209-578-6300
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Fax | 209-541-3373
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL J SILVA-THWAITES
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Credential | M.D.
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Telephone | 209-491-2132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | G75215
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License Number State | CA
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