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General NPI Number Information
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NPI Number | 1154785970
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Entity Type | Organization
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Legal Business Name | SIEBER PLASTIC SURGERY, PC
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 10/10/2017
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Provider Practice Location Address
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Address Line | 450 SUTTER ST RM 2630
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4205
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Country | US
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Telephone | 415-915-9000
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Fax | 415-915-3000
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Provider Business Mailing Address
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Address Line | 450 SUTTER ST RM 2630
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4205
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Country | US
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Telephone | 415-915-9000
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Fax | 415-915-3000
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID SIEBER
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Credential |
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Telephone | 415-915-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | C55672
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License Number State | CA
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