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General NPI Number Information
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NPI Number | 1689711681
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Entity Type | Organization
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Legal Business Name | SILBURN W. THOMAS,M.D.,P.C
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 STEVENS AVE SUITE 602
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-668-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 105 STEVENS AVE SUITE 602
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 914-668-1212
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SILBURN WILSON THOMAS
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Credential | M.D
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Telephone | 914-668-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 176335
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License Number State | NY
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