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General NPI Number Information
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NPI Number | 1447272497
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Entity Type | Organization
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Legal Business Name | RANDY J SILVERSTINE MD PA
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1217 EAST AVE SOUTH SUITE 301
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City | SARASOTA
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State | FL
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Zip | 34239-2344
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Country | US
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Telephone | 941-906-7332
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Fax | 941-906-1542
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Provider Business Mailing Address
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Address Line | 1217 EAST AVE SOUTH SUITE 301
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City | SARASOTA
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State | FL
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Zip | 34239-2344
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Country | US
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Telephone | 941-906-7332
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Fax | 941-906-1542
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Authorized Official
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Title or Position | OWNER
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Name | DR. RANDY J. SILVERSTINE
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Credential | MD
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Telephone | 941-906-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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