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General NPI Number Information
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NPI Number | 1831153998
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Entity Type | Organization
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Legal Business Name | DR SCOTT W SYLVIA & ASSOC PC
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2038 MASS AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02140
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Country | US
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Telephone | 617-864-3147
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Fax | 617-492-7918
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Provider Business Mailing Address
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Address Line | 2038 MASS AVE
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City | CAMBRIDGE
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State | MA
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Zip | 02140
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Country | US
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Telephone | 617-864-3147
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Fax | 617-492-7918
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT WAYNE SYLVIA
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Credential | OD
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Telephone | 617-864-3147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3306ODT
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License Number State | MA
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