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General NPI Number Information
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NPI Number | 1154620029
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Entity Type | Individual
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Provider Name | MILDRED ANN SIERS CNP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 3334 AGLER ROAD SUITE 2800
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City | COLUMBUS
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State | OH
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Zip | 43219-3387
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Country | US
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Telephone | 614-645-1600
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Fax | 614-645-1348
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Provider Business Mailing Address
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Address Line | P.O. BOX 16370
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City | COLUMBUS
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State | OH
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Zip | 43216-6370
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Country | US
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Telephone | 614-645-5500
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN185051-COA1
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License Number State | OH
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