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General NPI Number Information
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NPI Number | 1346136942
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Entity Type | Individual
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Provider Name | STEPHANIE SIEGEL LPN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 155 AIRPORT RD
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City | FITCHBURG
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State | MA
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Zip | 01420-8142
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Country | US
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Telephone | 978-343-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 31 SPRING PL
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City | WINCHENDON
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State | MA
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Zip | 01475-1741
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Country | US
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Telephone | 781-316-7862
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LN69246
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License Number State | MA
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