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General NPI Number Information
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NPI Number | 1669903787
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Entity Type | Organization
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Legal Business Name | SILVER MAPLE OPERATIONS, LLC
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 6900 DALLAS PKWY SUITE 800
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City | PLANO
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State | TX
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Zip | 75024-7144
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Country | US
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Telephone | 214-396-7227
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Fax | 469-453-3192
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Provider Business Mailing Address
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Address Line | 6900 DALLAS PKWY SUITE 800
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City | PLANO
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State | TX
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Zip | 75024-7144
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Country | US
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Telephone | 214-396-7227
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Fax | 469-453-3192
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Authorized Official
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Title or Position | CEO
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Name | D RICHARD HENRY
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Credential |
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Telephone | 214-396-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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