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General NPI Number Information
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NPI Number | 1447264031
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Entity Type | Individual
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Provider Name | THOMAS E SILVER DPM
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 06/12/2017
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Provider Practice Location Address
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Address Line | 669 WINNETKA AVE N STE 201
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City | GOLDEN VALLEY
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State | MN
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Zip | 55427-4576
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Country | US
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Telephone | 952-544-1314
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Fax |
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Provider Business Mailing Address
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Address Line | 2608 PRINCETON AVE
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-1980
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Country | US
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Telephone | 952-544-1314
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 349
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License Number State | MN
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