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General NPI Number Information
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NPI Number | 1023132842
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Entity Type | Individual
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Provider Name | PATRICIA ANN SIEGEL OTRL
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3660 COUNTY ROAD 6
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City | GENEVA
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State | NY
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Zip | 14456-9138
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Country | US
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Telephone | 315-781-0132
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Fax | 315-781-0263
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Provider Business Mailing Address
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Address Line | 2585 MANEY RD
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City | WATERLOO
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State | NY
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Zip | 13165-9721
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Country | US
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Telephone | 315-789-8250
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 01300001
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License Number State | NY
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