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General NPI Number Information
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NPI Number | 1871129783
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Entity Type | Individual
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Provider Name | THOMAS SILVA
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3330 N 2ND ST STE 601
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City | PHOENIX
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State | AZ
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Zip | 85012-2395
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Country | US
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Telephone | 602-230-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 N CENTRAL AVE STE 550
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City | PHOENIX
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State | AZ
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Zip | 85012-2635
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Country | US
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Telephone | 602-230-7373
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA8488
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | PA8488
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 100355
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License Number State | IA
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