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NPI 1427121425

NPI 1427121425 : EDWARD J. SILVOY, M.D.,P.A. : GASTONIA, NC

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General NPI Number Information
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    NPI Number           |    1427121425
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    Entity Type          |    Organization 
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    Legal Business Name  |    EDWARD J. SILVOY, M.D.,P.A. 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    01/29/2008
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Provider Practice Location Address
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    Address Line         |    1010 X RAY DR SUITE A
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    City                 |    GASTONIA
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    State                |    NC
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    Zip                  |    28054-7488
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    Country              |    US
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    Telephone            |    704-865-7677
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    Fax                  |    704-865-0756
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Provider Business Mailing Address
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    Address Line         |    1010 X RAY DR SUITE A
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    City                 |    GASTONIA
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    State                |    NC
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    Zip                  |    28054-7488
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    Country              |    US
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    Telephone            |    704-865-7677
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    Fax                  |    704-865-0756
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. EDWARD J. SILVOY 
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    Credential           |    M.D.
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    Telephone            |    704-865-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207YX0905X
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    Taxonomy Name        |    Otolaryngology/Facial Plastic Surgery Physician
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    License Number       |    22385
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    License Number State |    NC
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