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General NPI Number Information
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NPI Number | 1457069437
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Entity Type | Individual
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Provider Name | MORGAN L. FLEX SIEBERT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 1002 CHURCHILL RD STE 1
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City | MAHOMET
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State | IL
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Zip | 61853-7456
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Country | US
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Telephone | 217-655-4993
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 BENSINGTON CT
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City | NORMAL
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State | IL
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Zip | 61761-4810
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Country | US
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Telephone | 309-826-9823
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 160008535
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License Number State | IL
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