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General NPI Number Information
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NPI Number | 1871095653
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Entity Type | Individual
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Provider Name | LAURIE ANN SIEGEL LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 75 RIVERDALE AVE
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City | YONKERS
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State | NY
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Zip | 10701-3645
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Country | US
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Telephone | 914-376-8278
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Fax |
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Provider Business Mailing Address
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Address Line | 14A MILLER ST
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City | BEACON
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State | NY
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Zip | 12508-3219
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Country | US
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Telephone | 914-960-7727
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 080732
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License Number State | NY
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