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General NPI Number Information
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NPI Number | 1093552036
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Entity Type | Individual
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Provider Name | SIERRA SKYE DEE L.AC
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Gender | Female
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Dates
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Enumeration Date | 07/09/2024
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 9217 W US HIGHWAY 290 STE 150
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City | AUSTIN
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State | TX
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Zip | 78736-7818
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Country | US
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Telephone | 512-522-8488
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Fax |
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Provider Business Mailing Address
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Address Line | 4108 SUN SPIRIT DR
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City | AUSTIN
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State | TX
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Zip | 78735-6365
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Country | US
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Telephone | 252-349-6099
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC02164
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License Number State | TX
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