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General NPI Number Information
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NPI Number | 1972507432
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Entity Type | Individual
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Provider Name | ANTHONY D SLONIM MD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2005
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 3 RIVERSIDE CIR
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City | ROANOKE
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State | VA
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Zip | 24016-4955
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Country | US
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Telephone | 540-224-5170
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Fax | 540-983-8229
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 1006
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | D47127
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | D47127
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME157065
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License Number State | FL
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