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General NPI Number Information
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NPI Number | 1578629317
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Entity Type | Individual
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Provider Name | MARK TRENT SYLVESTER MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12719 SHOCKLEY WOODS COURT
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City | AUBURN
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State | CA
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Zip | 95603
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Country | US
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Telephone | 916-764-0733
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Fax | 530-887-0348
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Provider Business Mailing Address
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Address Line | PO BOX 9236
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City | AUBURN
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State | CA
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Zip | 95604-9236
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Country | US
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Telephone | 916-764-0733
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Fax | 530-887-0348
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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 | G75212
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License Number State | CA
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