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General NPI Number Information
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NPI Number | 1114016391
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Entity Type | Individual
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Provider Name | TODD BROOK SILVERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 14825 NORTH OUTER 40 RD STE 330-B
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City | CHESTERFIELD
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State | MO
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Zip | 63017-2119
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Country | US
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Telephone | 636-537-0525
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Fax | 636-537-0575
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Provider Business Mailing Address
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Address Line | 14825 NORTH OUTER 40 RD STE 330-B
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City | CHESTERFIELD
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State | MO
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Zip | 63017-2119
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Country | US
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Telephone | 636-537-0525
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Fax | 636-537-0575
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2001012251
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License Number State | MO
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