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General NPI Number Information
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NPI Number | 1245518984
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Entity Type | Organization
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Legal Business Name | PABLO L. SILVA D.D.S. P.A.
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 1227 DEL PRADO BLVD S SUITE 106
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City | CAPE CORAL
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State | FL
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Zip | 33990-3631
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Country | US
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Telephone | 239-573-4848
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Fax | 239-573-6040
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Provider Business Mailing Address
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Address Line | 1227 DEL PRADO BLVD S SUITE 106
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City | CAPE CORAL
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State | FL
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Zip | 33990-3631
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Country | US
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Telephone | 239-573-4848
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Fax | 239-573-6040
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. PABLO LAURENCIO SILVA
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Credential | D.D.S.
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Telephone | 239-573-4848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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