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General NPI Number Information
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NPI Number | 1972703163
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Entity Type | Organization
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Legal Business Name | SILVERMAN PEDIATRIC OPHTHALMOLOGY PA
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 217 MANATEE AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-1931
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Country | US
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Telephone | 941-748-1818
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Fax | 941-744-0467
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Provider Business Mailing Address
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Address Line | 217 MANATEE AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-1931
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Country | US
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Telephone | 941-748-1818
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Fax | 941-744-0467
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT EDWARD SILVERMAN
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Credential | M.D.
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Telephone | 941-748-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME0068584
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License Number State | FL
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