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General NPI Number Information
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NPI Number | 1134131071
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Entity Type | Organization
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Legal Business Name | SILVESTRO FAMILY DENTAL
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 7083 PEARL RD
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City | MIDDLEBURG HTS
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State | OH
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Zip | 44130
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Country | US
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Telephone | 440-888-4545
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Fax | 440-842-1700
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Provider Business Mailing Address
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Address Line | 7083 PEARL ROAD
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City | MIDDLEBURG HTS
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State | OH
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Zip | 44130
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Country | US
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Telephone | 440-888-4545
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Fax | 440-842-1700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY R SILVESTRO JR.
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Credential | DDS
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Telephone | 440-888-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21807
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License Number State | OH
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