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General NPI Number Information
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NPI Number | 1982714119
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Entity Type | Individual
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Provider Name | ANN M. SIEFERT M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 1317 YNEZ PL STE A
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City | CORONADO
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State | CA
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Zip | 92118-3909
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Country | US
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Telephone | 858-554-8645
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Fax |
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Provider Business Mailing Address
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Address Line | 10790 RANCHO BERNARDO RD
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City | SAN DIEGO
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State | CA
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Zip | 92127-5705
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Country | US
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Telephone | 619-437-1791
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Fax | 619-435-9197
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G69268
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License Number State | CA
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