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General NPI Number Information
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NPI Number | 1962713792
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Entity Type | Individual
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Provider Name | SCOTT SEIBERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2010
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 450 STANYAN ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1019
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Country | US
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Telephone | 415-750-5782
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 SPRINGHILL RD
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City | LAFAYETTE
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State | CA
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Zip | 94549-2536
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A112495
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License Number State | CA
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