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General NPI Number Information
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NPI Number | 1689812133
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Entity Type | Organization
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Legal Business Name | ROBERT P SILEO MD PC
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 201 PARK ST SE
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City | VIENNA
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State | VA
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Zip | 22180-4661
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Country | US
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Telephone | 703-938-7100
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Fax | 703-938-1261
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Provider Business Mailing Address
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Address Line | 201 PARK ST SE
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City | VIENNA
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State | VA
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Zip | 22180-4661
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Country | US
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Telephone | 703-938-7100
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Fax | 703-938-1261
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | ROBERT P SILEO
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Credential | M.D.
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Telephone | 703-938-7100
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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 | 0101029056
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License Number State | VA
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