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NPI 1154626794

NPI 1154626794 : JULIO SILVESTRE M.D. : WEST HOLLYWOOD, CA

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General NPI Number Information
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    NPI Number           |    1154626794
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    Entity Type          |    Individual 
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    Provider Name        |    JULIO SILVESTRE M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/12/2011
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    Last Update Date     |    05/08/2024
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Provider Practice Location Address
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    Address Line         |    8700 BEVERLY BLVD 
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    City                 |    WEST HOLLYWOOD
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    State                |    CA
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    Zip                  |    90048-1804
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    Country              |    US
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    Telephone            |    310-423-9520
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    Fax                  |    310-423-9525
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Provider Business Mailing Address
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    Address Line         |    4140 W 190TH ST 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90504-5513
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    Country              |    US
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    Telephone            |    
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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        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    0101255555
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    C169193
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    License Number State |    CA
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