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General NPI Number Information
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NPI Number | 1275578890
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Entity Type | Individual
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Provider Name | ROBERT STEPHEN SEIBT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 25 CENTRAL PARK W
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City | NEW YORK
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State | NY
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Zip | 10023-7253
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Country | US
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Telephone | 212-307-0089
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Fax | 212-541-9034
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Provider Business Mailing Address
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Address Line | 139 W 82ND ST
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City | NEW YORK
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State | NY
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Zip | 10024-5544
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Country | US
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Telephone | 212-877-1798
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Fax | 973-736-8854
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 134571
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License Number State | NY
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