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General NPI Number Information
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NPI Number | 1699250944
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Entity Type | Individual
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Provider Name | SILVER ISOM
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Gender | Female
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 2105 PARK AVE STE 5
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City | ORANGE PARK
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State | FL
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Zip | 32073-5557
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Country | US
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Telephone | 904-778-5223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 65271
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City | ORANGE PARK
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State | FL
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Zip | 32065-0005
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Country | US
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Telephone | 904-778-5223
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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