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NPI 1487926754

NPI 1487926754 : ERIC ZACHARY SILFEN M.D : ANDOVER, MA

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General NPI Number Information
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    NPI Number           |    1487926754
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC ZACHARY SILFEN M.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/02/2012
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    Last Update Date     |    02/02/2012
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Provider Practice Location Address
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    Address Line         |    3000 MINUTEMAN RD MAILSTOP 101
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    City                 |    ANDOVER
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    State                |    MA
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    Zip                  |    01810-1032
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    Country              |    US
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    Telephone            |    978-659-7610
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3711 
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    City                 |    NANTUCKET
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    State                |    MA
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    Zip                  |    02584-3711
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    Country              |    US
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    Telephone            |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    230134
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    License Number State |    NY
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