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General NPI Number Information
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NPI Number | 1003935289
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Entity Type | Organization
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Legal Business Name | JUNE SIEGEL MSW CISW PC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 1830 S ALMA SCHOOL RD SUITE 135
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City | MESA
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State | AZ
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Zip | 85210-3056
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Country | US
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Telephone | 480-491-4840
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Fax | 480-491-5327
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Provider Business Mailing Address
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Address Line | 1830 S ALMA SCHOOL RD SUITE 135
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City | MESA
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State | AZ
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Zip | 85210-3056
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Country | US
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Telephone | 480-491-4840
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Fax | 480-491-5327
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUNE SIEGEL
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Credential |
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Telephone | 480-491-4840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LCSW 0821
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License Number State | AZ
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