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General NPI Number Information
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NPI Number | 1336470665
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Entity Type | Organization
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Legal Business Name | SILVA NUTRITION ASSOCIATES LLC
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 03/12/2010
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Provider Practice Location Address
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Address Line | 607 NORTH AVE DOOR 12
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City | WAKEFIELD
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State | MA
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Zip | 01880-1322
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Country | US
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Telephone | 781-799-5644
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Fax |
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Provider Business Mailing Address
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Address Line | 166 WOBURN ST UNIT 1
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City | READING
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State | MA
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Zip | 01867-3560
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Country | US
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Telephone | 781-799-5644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE ELIZABETH SILVA
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Credential | RD
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Telephone | 781-799-5644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 85
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License Number State | MA
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