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General NPI Number Information
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NPI Number | 1306079785
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Entity Type | Individual
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Provider Name | STEPHANIE CLAIRE SIEGRIST-BOLING NP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 399 W. GALBRAITH RD. #209
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City | CINCINNATI
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State | OH
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Zip | 45215-5035
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Country | US
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Telephone | 513-847-1254
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Fax | 513-847-6227
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Provider Business Mailing Address
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Address Line | PO BOX 638536
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City | CINCINNATI
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State | OH
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Zip | 45263-6536
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Country | US
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Telephone | 859-291-4800
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Fax | 859-291-4801
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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 | COA.10894-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 337548
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License Number State | KY
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