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NPI 1831343474

NPI 1831343474 : EME NELLY SILVA DMD : COLLEGEVILLE, PA

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General NPI Number Information
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    NPI Number           |    1831343474
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    Entity Type          |    Individual 
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    Provider Name        |    EME NELLY SILVA DMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/10/2008
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    Last Update Date     |    01/09/2012
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Provider Practice Location Address
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    Address Line         |    399 ARCOLA ROAD 
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    City                 |    COLLEGEVILLE
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    State                |    PA
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    Zip                  |    19426-5337
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    Country              |    US
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    Telephone            |    610-489-5555
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    Fax                  |    610-489-5139
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Provider Business Mailing Address
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    Address Line         |    399 ARCOLA ROAD SUITE 100
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    City                 |    COLLEGEVILLE
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    State                |    PA
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    Zip                  |    19426
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    Country              |    US
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    Telephone            |    610-489-5555
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    Fax                  |    610-489-5139
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DS036175
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    License Number State |    PA
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