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General NPI Number Information
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NPI Number | 1679787220
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Entity Type | Individual
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Provider Name | MONICA F TIU SILVA DDS
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 1220 CARAWAY CT STE 1050
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City | LARGO
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State | MD
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Zip | 20774-5338
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Country | US
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Telephone | 301-494-3000
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Fax | 301-494-3333
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Provider Business Mailing Address
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Address Line | 5701 FOGGY LN
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City | DERWOOD
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State | MD
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Zip | 20855-1620
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Country | US
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Telephone | 347-460-3090
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 053415
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 15860
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License Number State | MD
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