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NPI 1124173778

NPI 1124173778 : LORI SILVIA DPT : DUBUQUE, IA

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General NPI Number Information
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    NPI Number           |    1124173778
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    Entity Type          |    Individual 
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    Provider Name        |    LORI SILVIA DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    09/19/2024
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Provider Practice Location Address
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    Address Line         |    3485 WINDSOR AVE 
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    City                 |    DUBUQUE
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    State                |    IA
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    Zip                  |    52001-1329
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    Country              |    US
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    Telephone            |    978-590-9067
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    Fax                  |    508-831-7861
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Provider Business Mailing Address
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    Address Line         |    2140 SOUTHBEND CIR 
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    City                 |    DUBUQUE
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    State                |    IA
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    Zip                  |    52003-7620
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    Country              |    US
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    Telephone            |    978-590-9067
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    Fax                  |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    17557
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    084446
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    License Number State |    IA
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