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General NPI Number Information
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NPI Number | 1851459093
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Entity Type | Individual
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Provider Name | CAROLYN LIANE SIEGAL D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 1177 PROVIDENCE HIGHWAY
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City | NORWOOD
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State | MA
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Zip | 02062
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Country | US
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Telephone | 781-278-5635
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Fax | 781-440-7585
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Provider Business Mailing Address
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Address Line | 1177 PROVIDENCE HIGHWAY
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City | NORWOOD
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State | MA
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Zip | 02062
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Country | US
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Telephone | 781-278-5635
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Fax | 781-440-7585
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | E4248
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 2308
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License Number State | MA
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