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General NPI Number Information
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NPI Number | 1952603284
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Entity Type | Organization
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Legal Business Name | BARRY NEIL SILBERG, M.D., INC.
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Dates
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Enumeration Date | 11/18/2010
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Last Update Date | 11/02/2014
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Provider Practice Location Address
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Address Line | 1111 SONOMA AVE SUITE 210
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City | SANTA ROSA
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State | CA
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Zip | 95405-4819
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Country | US
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Telephone | 707-528-0911
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Fax | 707-528-4602
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Provider Business Mailing Address
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Address Line | 1111 SONOMA AVE SUITE 210
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City | SANTA ROSA
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State | CA
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Zip | 95405-4819
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Country | US
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Telephone | 707-528-0911
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Fax | 707-528-4602
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY NEIL SILBERG
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Credential | M.D.
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Telephone | 707-528-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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