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General NPI Number Information
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NPI Number | 1881726495
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Entity Type | Organization
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Legal Business Name | AUGUSTO SILVA M D MEDICAL CORP
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2601 W ALAMEDA AVE SUITE 202
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City | BURBANK
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State | CA
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Zip | 91505-4800
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Country | US
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Telephone | 818-846-2546
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Fax | 818-846-4047
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Provider Business Mailing Address
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Address Line | 2601 W ALAMEDA AVE SUITE 202
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City | BURBANK
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State | CA
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Zip | 91505-4800
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Country | US
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Telephone | 818-846-2546
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AUGUSTO SILVA
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Credential | M.D.
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Telephone | 818-846-2546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A26585
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License Number State | CA
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