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General NPI Number Information
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NPI Number | 1245996891
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Entity Type | Individual
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Provider Name | SIERRA IAVARONE DPT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 2111 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-4707
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Country | US
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Telephone | 814-456-5151
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Fax | 814-878-2911
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Provider Business Mailing Address
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Address Line | 2111 W 8TH ST
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City | ERIE
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State | PA
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Zip | 16505-4707
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Country | US
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Telephone | 181-445-6515
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT029815
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT029815
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License Number State | PA
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