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General NPI Number Information
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NPI Number | 1467386789
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Entity Type | Individual
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Provider Name | GRACE JANE SIEBER M.S., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 2101 WOODDALE DR STE A
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City | WOODBURY
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State | MN
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Zip | 55125-2933
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Country | US
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Telephone | 651-738-9888
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Fax | 651-738-9889
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Provider Business Mailing Address
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Address Line | 24180 IRISH AVE
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City | FOREST LAKE
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State | MN
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Zip | 55025-8385
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Country | US
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Telephone | 651-308-4496
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | CFDE-251
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License Number State | MN
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