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General NPI Number Information
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NPI Number | 1326767864
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Entity Type | Individual
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Provider Name | MONICA SIEGEL
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 1214 DINA CT STE A
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City | HIAWATHA
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State | IA
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Zip | 52233-4706
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Country | US
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Telephone | 319-208-2150
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Fax |
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Provider Business Mailing Address
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Address Line | 4488 PEPPERWOOD HL SE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52403-1069
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Country | US
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Telephone | 319-430-8081
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 113959
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License Number State | IA
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