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General NPI Number Information
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NPI Number | 1871701870
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Entity Type | Organization
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Legal Business Name | LOUIS R SIEMINSKI
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 601 WYOMING AVE
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City | KINGSTON
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State | PA
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Zip | 18704-3701
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Country | US
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Telephone | 570-287-8649
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Fax | 570-287-9560
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Provider Business Mailing Address
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Address Line | 601 WYOMING AVE
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City | KINGSTON
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State | PA
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Zip | 18704-3701
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Country | US
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Telephone | 570-287-8649
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Fax | 570-287-9560
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Authorized Official
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Title or Position | OWNERAUDIOLOGIST
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Name | DR. LOUIS R. SIEMINSKI
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Credential | PHD
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Telephone | 570-287-8649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | AT000230L
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License Number State | PA
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