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General NPI Number Information
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NPI Number | 1760636732
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Entity Type | Organization
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Legal Business Name | SILVER CONSULTING SERVICES INC
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 1050 RIVERSIDE AVE SUITE B
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4123
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Country | US
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Telephone | 904-634-0805
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Fax | 904-634-0950
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Provider Business Mailing Address
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Address Line | 1050 RIVERSIDE AVE SUITE B
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4123
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Country | US
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Telephone | 904-634-0805
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Fax | 904-634-0950
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. SHANE H SILVER
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Credential | DC
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Telephone | 904-634-0805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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