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General NPI Number Information
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NPI Number | 1285149856
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Entity Type | Individual
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Provider Name | MIGUEL SIERRA GARCIA RN
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Gender | Male
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 99 GORGE RD APT 1511
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City | EDGEWATER
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State | NJ
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Zip | 07020-1097
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Country | US
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Telephone | 718-514-4651
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Fax |
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Provider Business Mailing Address
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Address Line | 99 GORGE RD APT 1511
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City | EDGEWATER
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State | NJ
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Zip | 07020-1097
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Country | US
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Telephone | 718-514-4651
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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 | 26NJ15501900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR22651800
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License Number State | NJ
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