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General NPI Number Information
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NPI Number | 1497948004
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Entity Type | Organization
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Legal Business Name | JOEL HORNUNG & LORA SIEGLE PTR
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 604 N WASHINGTON ST
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City | COUNCIL GROVE
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State | KS
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Zip | 66846-1422
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Country | US
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Telephone | 620-767-5126
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Fax | 620-767-6910
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Provider Business Mailing Address
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Address Line | 604 N WASHINGTON ST
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City | COUNCIL GROVE
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State | KS
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Zip | 66846-1422
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Country | US
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Telephone | 620-767-5126
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Fax | 620-767-6910
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LORA A SIEGLE
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Credential | MD
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Telephone | 620-767-5126
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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 |
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License Number State | KS
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