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General NPI Number Information
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NPI Number | 1871600908
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Entity Type | Organization
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Legal Business Name | ROLAND E. SIEGLER, M.D.,P.A.
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 3215 OMEGA DR
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City | ARLINGTON
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State | TX
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Zip | 76014-2006
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Country | US
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Telephone | 817-468-1818
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Fax | 817-468-4775
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Provider Business Mailing Address
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Address Line | 3215 OMEGA DRIVE
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City | ARLINGTON
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State | TX
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Zip | 76014-2006
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Country | US
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Telephone | 817-468-1818
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Fax | 817-468-4775
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROLAND EUGENE SIEGLER
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Credential | MD
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Telephone | 817-468-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E9997
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License Number State | TX
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