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General NPI Number Information
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NPI Number | 1265764484
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Entity Type | Organization
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Legal Business Name | EL-SILIMY MD LLC
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 73 SWEDEN ST
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City | CARIBOU
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State | ME
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Zip | 04736-2101
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Country | US
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Telephone | 207-492-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 73 SWEDEN ST
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City | CARIBOU
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State | ME
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Zip | 04736-2101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OSAMA E. EL-SILIMY
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Credential | MD
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Telephone | 207-492-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 014725
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License Number State | ME
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