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General NPI Number Information
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NPI Number | 1932566783
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Entity Type | Individual
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Provider Name | SILVYA GHOUBRIAL
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Gender | Female
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 10 E 21ST ST APT 2L
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City | BAYONNE
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State | NJ
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Zip | 07002-3720
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Country | US
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Telephone | 646-203-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 10 E 21ST ST APT 2L
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City | BAYONNE
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State | NJ
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Zip | 07002-3720
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Country | US
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Telephone |
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171WV0202X
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Taxonomy Name | Vehicle Modifications Contractor
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License Number |
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License Number State |
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