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General NPI Number Information
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NPI Number | 1295948792
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Entity Type | Individual
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Provider Name | PHILLIP JOSEPH SEIBELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 8199 E 1ST AVE
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City | DENVER
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State | CO
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Zip | 80230-7163
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Country | US
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Telephone | 732-407-9529
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Fax |
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Provider Business Mailing Address
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Address Line | 7 SKYLINE DR STE 350
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City | HAWTHORNE
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State | NY
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Zip | 10532-2162
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Country | US
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Telephone | 732-407-9529
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 239092
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME121102
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 112288
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0066026
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License Number State | CO
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