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General NPI Number Information
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NPI Number | 1629066089
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Entity Type | Individual
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Provider Name | GLENN SILVERSTEIN D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | 7400 E OSBORN RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6432
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Country | US
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Telephone | 480-583-0500
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Fax | 480-583-2775
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Provider Business Mailing Address
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Address Line | 8111 S LA ROSA DR
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City | TEMPE
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State | AZ
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Zip | 85284-1418
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Country | US
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Telephone | 602-405-1227
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 0388
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0388
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License Number State | AZ
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