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General NPI Number Information
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NPI Number | 1750615548
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Entity Type | Individual
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Provider Name | CATHERINE ELIZABETH SILVA RD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 607 NORTH AVE DOOR 12
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City | WAKEFIELD
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State | MA
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Zip | 01880-2310
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Country | US
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Telephone | 781-799-5644
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Fax |
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Provider Business Mailing Address
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Address Line | 166 WOBURN ST UNIT 1
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City | READING
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State | MA
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Zip | 01867-3560
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Country | US
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Telephone | 781-799-5644
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 85
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 85
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 85
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License Number State | MA
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