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General NPI Number Information
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NPI Number | 1982713202
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Entity Type | Individual
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Provider Name | CYNTHIA I CHALL-SILVA RD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 201 CEDAR SE SUITE 4660 PMG CEDAR PEDIATRIC GI
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City | ALBUQUERQUE
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State | NM
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Zip | 87106
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Country | US
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Telephone | 505-563-6530
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Fax | 505-563-6551
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Provider Business Mailing Address
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Address Line | PO BOX 26666 PHS PROVIDER ENROLLMENT
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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Country | US
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Telephone | 505-923-5356
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Fax | 505-923-5354
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD-493
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 493
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License Number State | NM
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