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NPI 1922274497

NPI 1922274497 : BRAD JOSEPH SILVER M.D. : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1922274497
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    Entity Type          |    Individual 
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    Provider Name        |    BRAD JOSEPH SILVER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/05/2008
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    Last Update Date     |    06/10/2009
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Provider Practice Location Address
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    Address Line         |    UT SOUTHWESTERN EMERGENCY MEDICINE 5323 HARRY HINES BOULEVARD CS2.122
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75390-0001
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    Country              |    US
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    Telephone            |    214-590-1355
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    Fax                  |    214-590-4079
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Provider Business Mailing Address
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    Address Line         |    4212 N HALL ST APT 47 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75219-7707
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    Country              |    US
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    Telephone            |    409-939-0541
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    Fax                  |    214-613-7128
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    BP1-0031980
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    License Number State |    TX
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