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General NPI Number Information
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NPI Number | 1215964846
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Entity Type | Individual
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Provider Name | MARC RICHARD SILBERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 689 VALLEY RD SUITE 104
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City | GILLETTE
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State | NJ
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Zip | 07933-1919
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Country | US
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Telephone | 908-647-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 603 TIMBERBROOKE DR
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City | BEDMINSTER
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State | NJ
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Zip | 07921-2109
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Country | US
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Telephone | 908-234-2634
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MA070162
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License Number State | NJ
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