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General NPI Number Information
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NPI Number | 1043227903
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Entity Type | Individual
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Provider Name | JOSHUA B SIEGEL MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2307 NW STIMPSON LN
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City | PORTLAND
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State | OR
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Zip | 97229-8562
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Country | US
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Telephone | 503-936-9995
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Fax | 503-206-7118
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Provider Business Mailing Address
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Address Line | 2307 NW STIMPSON LN
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City | PORTLAND
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State | OR
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Zip | 97229-8562
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Country | US
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Telephone | 503-936-9995
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Fax | 503-206-7118
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD22073
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A46154
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License Number State | CA
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