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General NPI Number Information
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NPI Number | 1225519085
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Entity Type | Organization
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Legal Business Name | SILVA & CARDENAS INC.
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 23010 LAKE FOREST DR STE A
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1351
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Country | US
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Telephone | 949-586-4211
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Fax | 949-586-1549
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Provider Business Mailing Address
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Address Line | 23010 LAKE FOREST DR
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1351
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Country | US
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Telephone | 949-586-4211
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Fax | 949-586-1549
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Authorized Official
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Title or Position | PEDIATRIC OPTICIAN, CEO
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Name | MR. ROBERT SILVA
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Credential | SLD
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Telephone | 949-586-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 4004
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License Number State | CA
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