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General NPI Number Information
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NPI Number | 1770152555
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Entity Type | Individual
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Provider Name | CASEY ELIZABETH SILVI DMD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 163 S RIVER ST
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City | PLAINS
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State | PA
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Zip | 18705-1120
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Country | US
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Telephone | 570-822-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 109 BALD MOUNTAIN RD
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City | BEAR CREEK TOWNSHIP
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State | PA
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Zip | 18702-9538
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Country | US
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Telephone | 570-606-1196
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS043163
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License Number State | PA
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