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General NPI Number Information
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NPI Number | 1568523942
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Entity Type | Organization
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Legal Business Name | SILVESTI CHIROPRACTIC CENTER LLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 303 BELLEVUE AVE
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City | HAMMONTON
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State | NJ
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Zip | 08037-1928
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Country | US
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Telephone | 609-704-3103
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Fax | 609-704-3105
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Provider Business Mailing Address
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Address Line | 303 BELLEVUE AVE
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City | HAMMONTON
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State | NJ
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Zip | 08037-1928
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Country | US
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Telephone | 609-704-3103
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Fax | 609-704-3105
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Authorized Official
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Title or Position | OWNER-CHIROPRACTOR
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Name | DR. GARRY M SILVESTI
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Credential | D.C.
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Telephone | 609-704-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | NJ MC04579
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License Number State | NJ
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