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General NPI Number Information
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NPI Number | 1407970098
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Entity Type | Organization
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Legal Business Name | SIESS CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 SMITH DR SUITE7
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-4129
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Country | US
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Telephone | 724-776-4855
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Fax | 724-776-1560
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Provider Business Mailing Address
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Address Line | 101 SMITH DR SUITE7
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-4129
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Country | US
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Telephone | 724-776-4855
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Fax | 724-776-1560
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLIFTON G SIESS
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Credential | DC
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Telephone | 724-776-4855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC003052L
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License Number State | PA
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