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General NPI Number Information
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NPI Number | 1376401695
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Entity Type | Individual
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Provider Name | SHERRY SIEGMAN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 14164 73RD TER
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City | FLUSHING
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State | NY
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Zip | 11367-2334
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Country | US
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Telephone | 516-680-2498
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Fax |
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Provider Business Mailing Address
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Address Line | 14164 73RD TER
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City | FLUSHING
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State | NY
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Zip | 11367-2334
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Country | US
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Telephone | 516-680-2498
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 773423
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License Number State | NY
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