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General NPI Number Information
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NPI Number | 1528371929
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Entity Type | Individual
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Provider Name | DIANA REBECCA SILAS DO
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Gender | Female
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 210 N LAFAYETTE ST
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City | SOUTH LYON
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State | MI
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Zip | 48178-2048
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Country | US
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Telephone | 248-465-5140
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Fax | 248-465-5141
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Provider Business Mailing Address
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Address Line | 210 N LAFAYETTE ST
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City | SOUTH LYON
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State | MI
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Zip | 48178-2048
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Country | US
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Telephone | 248-465-5140
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Fax | 248-465-5141
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01933
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 510101864
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 510101864
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License Number State | MI
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