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General NPI Number Information
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NPI Number | 1801520283
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Entity Type | Individual
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Provider Name | MARY PAIGE SIEK LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 505 PARK AVE STE 400
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City | NEW YORK
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State | NY
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Zip | 10022-9331
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Country | US
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Telephone | 347-766-8554
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Fax |
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Provider Business Mailing Address
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Address Line | 505 PARK AVE STE 400
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City | NEW YORK
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State | NY
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Zip | 10022-9331
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 074909
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License Number State | NY
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