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General NPI Number Information
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NPI Number | 1851467575
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Entity Type | Individual
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Provider Name | JOSEPH JAMES SIVAK MD
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 2910 STATE ST
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City | ERIE
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State | PA
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Zip | 16508-1832
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Country | US
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Telephone | 814-454-5686
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Fax | 814-454-8946
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Provider Business Mailing Address
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Address Line | 2910 STATE ST
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City | ERIE
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State | PA
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Zip | 16508-1832
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Country | US
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Telephone | 814-454-5686
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Fax | 814-454-8946
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME117834
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD449533
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License Number State | PA
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