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General NPI Number Information
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NPI Number | 1982332987
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Entity Type | Individual
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Provider Name | ELIZABETH SIEGFRIED
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Gender | Female
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 10 DUBRAY DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-3515
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Country | US
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Telephone | 636-706-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 FEISE FOREST DR
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City | O FALLON
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State | MO
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Zip | 63368-6801
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Country | US
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Telephone | 636-544-8292
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2022030416
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License Number State | MO
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