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General NPI Number Information
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NPI Number | 1851161483
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Entity Type | Individual
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Provider Name | CHARINA FERANIL SILAN PTA
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Gender | Female
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 38 PROSPECT AVE
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City | CATSKILL
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State | NY
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Zip | 12414-1514
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Country | US
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Telephone | 518-943-5701
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Fax |
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Provider Business Mailing Address
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Address Line | 476 ONTARIO ST APT 2
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City | ALBANY
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State | NY
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Zip | 12208-2861
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Country | US
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Telephone | 845-392-7496
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 012604-01
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License Number State | NY
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