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General NPI Number Information
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NPI Number | 1457731275
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Entity Type | Individual
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Provider Name | ALISSA SILVESTRI
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Gender | Female
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Dates
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Enumeration Date | 06/06/2015
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Last Update Date | 06/06/2015
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Provider Practice Location Address
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Address Line | 4530 BELTWAY DR
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City | ADDISON
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State | TX
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Zip | 75001-3707
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Country | US
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Telephone | 314-496-9243
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Fax |
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Provider Business Mailing Address
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Address Line | 2803 COLE AVE APARTMENT 251
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City | DALLAS
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State | TX
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Zip | 75204-4000
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Country | US
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Telephone | 314-496-9243
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 110314
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License Number State | TX
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