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General NPI Number Information
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NPI Number | 1336229574
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Entity Type | Organization
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Legal Business Name | JONATHAN E SILVERMAN DDS PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 23 CROSSROADS DR STE 420
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-356-8400
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Fax | 410-356-8401
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Provider Business Mailing Address
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Address Line | 23 CROSSROADS DR STE 420
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-356-8400
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Fax | 410-356-8401
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JONATHAN E SILVERMAN
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Credential | DDS
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Telephone | 410-356-8400
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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 | 8608
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License Number State | MD
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