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General NPI Number Information
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NPI Number | 1275701179
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Entity Type | Organization
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Legal Business Name | STEPHAN A SILVA D P M PA
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 7491 N FEDERAL HWY STE C15
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City | BOCA RATON
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State | FL
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Zip | 33487-1624
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Country | US
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Telephone | 561-241-9447
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Fax | 561-241-4324
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Provider Business Mailing Address
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Address Line | 7491 N FEDERAL HWY STE C15
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City | BOCA RATON
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State | FL
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Zip | 33487-1624
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Country | US
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Telephone | 561-241-9447
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Fax | 561-241-4324
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBBIE SILVA
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Credential |
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Telephone | 561-241-9447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0787050001
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License Number State | FL
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