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General NPI Number Information
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NPI Number | 1538121439
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Entity Type | Individual
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Provider Name | ELIOT DESILVA MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 5 ALUMNI DR
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City | EXETER
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State | NH
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Zip | 03833-2128
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Country | US
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Telephone | 603-580-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HOLLAND WAY FL 1
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City | EXETER
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State | NH
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Zip | 03833-2997
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Country | US
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Telephone | 603-580-7525
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Fax | 603-580-7542
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 12839
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12839
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License Number State | NH
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