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General NPI Number Information
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NPI Number | 1225025299
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Entity Type | Individual
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Provider Name | JOHN SILIQUINI SR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 9126 BLUE GRASS RD
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City | PHILADELPHIA
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State | PA
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Zip | 19114-3202
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Country | US
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Telephone | 215-331-0992
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Fax | 215-338-0167
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Provider Business Mailing Address
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Address Line | 50 WELSH RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-6746
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Country | US
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Telephone | 215-331-8436
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Fax | 215-338-0167
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD027938L
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License Number State | PA
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