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General NPI Number Information
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NPI Number | 1043631922
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Entity Type | Individual
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Provider Name | SIERRA HARTSFIELD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2013
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 12900 PARK PLAZA DR
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City | CERRITOS
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State | CA
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Zip | 90703-9329
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Country | US
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Telephone | 562-467-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 60 MARKET ST STE 213
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City | GAITHERSBURG
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State | MD
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Zip | 20878-6559
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Country | US
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Telephone | 240-813-4433
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19073
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 94879
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License Number State | CA
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