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General NPI Number Information
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NPI Number | 1235283250
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Entity Type | Individual
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Provider Name | KRISTIN ANN SEIBERLING MD
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 1895 ORANGE TREE LN
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City | REDLANDS
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State | CA
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Zip | 92374-0111
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Country | US
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Telephone | 909-558-2002
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Fax | 909-558-2003
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Provider Business Mailing Address
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Address Line | 12607 LA SOLANA DR
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City | REDLANDS
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State | CA
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Zip | 92373-7456
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Country | US
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Telephone | 909-553-5326
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 100910
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License Number State | CA
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