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General NPI Number Information
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NPI Number | 1871517029
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Entity Type | Individual
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Provider Name | HOWARD B. SIEGEL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7 KENSINGTON AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07304-5023
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Country | US
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Telephone | 212-673-2256
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Fax | 201-333-9322
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Provider Business Mailing Address
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Address Line | 7 KENSINGTON AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07304-5023
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Country | US
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Telephone | 212-673-2256
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Fax | 201-333-9322
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 003597-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2771
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License Number State | NJ
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