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General NPI Number Information
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NPI Number | 1669021150
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Entity Type | Organization
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Legal Business Name | SILKY TOUCH LLC
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 2551 SAN RAMON VALLEY BLVD STE 107B
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City | SAN RAMON
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State | CA
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Zip | 94583-1661
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Country | US
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Telephone | 888-512-1200
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Fax | 888-487-0030
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Provider Business Mailing Address
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Address Line | 130 SHORELINE CIR APT 375
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City | SAN RAMON
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State | CA
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Zip | 94582-5085
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Country | US
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Telephone | 510-326-5201
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Fax | 888-487-0030
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Authorized Official
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Title or Position | OWNER
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Name | MARYNA SEIFI
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Credential |
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Telephone | 510-326-5201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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