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General NPI Number Information
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NPI Number | 1467456202
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Entity Type | Individual
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Provider Name | LAURA J SIEMS MD
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 04/17/2009
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Provider Practice Location Address
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Address Line | 306 PLUM ST
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City | WILLIAMSBURG
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State | PA
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Zip | 16693-1116
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Country | US
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Telephone | 814-832-3405
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Fax | 814-832-3811
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Provider Business Mailing Address
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Address Line | 6642 OAK DR
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City | HUNTINGDON
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State | PA
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Zip | 16652-6952
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Country | US
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Telephone | 814-644-0353
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD066187L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD066187L
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License Number State | PA
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