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General NPI Number Information
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NPI Number | 1194258491
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Entity Type | Individual
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Provider Name | SILVIA PAOLA RUSSO MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1651 4TH ST STE 212
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2324
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Country | US
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Telephone | 415-353-2057
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 421
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-0421
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Country | US
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Telephone | 866-747-2455
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | MD61230458
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD61230458
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A163527
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License Number State | CA
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