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General NPI Number Information
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NPI Number | 1225239973
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Entity Type | Individual
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Provider Name | YOEL JOSEF SIEGEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 1611 N.W. 12 AVE. JACKSON MEMORIAL HOSPITAL RADIOLOGY
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-8173
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Fax |
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Provider Business Mailing Address
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Address Line | 3544 MAGELLAN CIR 118
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City | AVENTURA
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State | FL
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Zip | 33180-3704
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Country | US
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Telephone | 305-937-4618
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Fax | 305-937-4618
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TRN10354
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME100937
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License Number State | FL
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