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General NPI Number Information
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NPI Number | 1215365986
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Entity Type | Individual
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Provider Name | BARBARA MARY SIEBERT DNP, CRNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 600 S 43RD ST WHITECAR HALL SUITE 1200, BOX 23
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4418
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Country | US
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Telephone | 215-596-8980
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Fax | 215-596-7621
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Provider Business Mailing Address
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Address Line | 1104 CLARK RD
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City | WYNDMOOR
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State | PA
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Zip | 19038-7504
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Country | US
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Telephone | 267-304-5526
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Fax | 215-596-7621
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | UP001224B
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License Number State | PA
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