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General NPI Number Information
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NPI Number | 1811519507
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Entity Type | Organization
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Legal Business Name | STEPHANIE SILVA DMD, LLC
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 12/26/2021
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Provider Practice Location Address
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Address Line | 133 ALLEN COURT
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860
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Country | US
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Telephone | 803-426-8017
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Fax |
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Provider Business Mailing Address
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Address Line | 133 ALLEN CT
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City | NORTH AUGUSTA
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State | SC
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Zip | 29860-9699
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Country | US
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Telephone | 803-426-3826
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. STEPHANIE SILVA
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Credential | DMD
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Telephone | 803-426-3826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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