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General NPI Number Information
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NPI Number | 1477604387
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Entity Type | Individual
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Provider Name | STEVEN WAYNE SILVERBERG DMD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1637 MINERAL SPRING AVENUE SUITE 219
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904
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Country | US
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Telephone | 401-354-6565
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Fax | 401-354-0044
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Provider Business Mailing Address
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Address Line | 1637 MINERAL SPRING AVENUE SUITE 219
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904
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Country | US
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Telephone | 401-354-6565
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Fax | 401-354-0044
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 1905
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 14424
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License Number State | MA
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