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General NPI Number Information
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NPI Number | 1023064169
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Entity Type | Individual
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Provider Name | JENNIFER M SIEGLE RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 3400 CIVIC CENTER BLVD 5TH FLOOR WOOD BUILDING
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4306
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Country | US
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Telephone | 215-590-4075
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Fax | 215-590-9045
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Provider Business Mailing Address
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Address Line | 159 PORTSMOUTH CIR
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City | GLEN MILLS
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State | PA
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Zip | 19342-2601
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Country | US
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Telephone | 215-590-4075
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Fax | 215-590-9045
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN-517973-L
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License Number State | PA
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