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General NPI Number Information
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NPI Number | 1043741440
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Entity Type | Individual
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Provider Name | SIERRA BAIRD PHD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 801 S PLEASANT GROVE BLVD # 200
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3157
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Country | US
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Telephone | 801-361-8589
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Fax |
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Provider Business Mailing Address
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Address Line | 34 W LESTER AVE UNIT E14
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City | MURRAY
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State | UT
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Zip | 84107-7134
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Country | US
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Telephone | 801-899-9665
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 10066925-2504
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License Number State | UT
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