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General NPI Number Information
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NPI Number | 1801092697
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Entity Type | Organization
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Legal Business Name | CAPE COD GASTROENTEROLOGY ASSOC PC
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 700 ATTUCKS LN UNIT 1B
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City | HYANNIS
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State | MA
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Zip | 02601-1813
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Country | US
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Telephone | 508-775-8001
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Fax | 508-775-1663
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Provider Business Mailing Address
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Address Line | 700 ATTUCKS LN UNIT 1B
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City | HYANNIS
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State | MA
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Zip | 02601-1813
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Country | US
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Telephone | 508-775-8001
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Fax | 508-775-1663
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL SIEGEL
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Credential | MD
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Telephone | 508-775-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 47532
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License Number State | MA
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