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NPI 1639758543

NPI 1639758543 : JACOB SIEGER : CUYAHOGA FALLS, OH

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General NPI Number Information
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    NPI Number           |    1639758543
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    Entity Type          |    Individual 
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    Provider Name        |    JACOB SIEGER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/07/2021
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    Last Update Date     |    08/23/2025
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Provider Practice Location Address
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    Address Line         |    1900 23RD ST 
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    City                 |    CUYAHOGA FALLS
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    State                |    OH
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    Zip                  |    44223
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    Country              |    US
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    Telephone            |    330-971-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4040 EMBASSY PKWY STE 370 
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    City                 |    AKRON
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    State                |    OH
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    Zip                  |    44333-8372
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    Country              |    US
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    Telephone            |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    34.016961
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    License Number State |    OH
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