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General NPI Number Information
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NPI Number | 1306034244
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Entity Type | Organization
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Legal Business Name | SILVER SPRING HEALTH CARE MANAGEMENT, INC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 70 KENYON AVE STE L10
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City | WAKEFIELD
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State | RI
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Zip | 02879-4239
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Country | US
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Telephone | 401-788-1638
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Fax | 401-782-9892
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Provider Business Mailing Address
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Address Line | 100 KENYON AVE
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City | WAKEFIELD
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State | RI
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Zip | 02879-4216
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Country | US
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Telephone | 401-788-3929
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Fax | 401-788-3939
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Authorized Official
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Title or Position | CONTROLLER
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Name | MARCIA T POLHEMUS
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Credential |
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Telephone | 401-788-1974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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