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General NPI Number Information
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NPI Number | 1851307334
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Entity Type | Organization
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Legal Business Name | SILK CLINIC PC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1701 WALNUT STREET 8TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-569-9870
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Fax | 215-569-9874
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Provider Business Mailing Address
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Address Line | 1701 WALNUT STREET 8TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19103
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Country | US
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Telephone | 215-569-9870
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Fax | 215-569-9874
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND E SILK
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Credential | MD
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Telephone | 215-569-9870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD022761L
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License Number State | PA
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