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General NPI Number Information
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NPI Number | 1316024631
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Entity Type | Individual
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Provider Name | NAYDA SIERRA MSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 31 WHITESANDS WAY
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1241
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Country | US
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Telephone | 732-450-1040
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Fax | 732-450-0120
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Provider Business Mailing Address
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Address Line | 31 WHITESANDS WAY
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City | LITTLE SILVER
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State | NJ
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Zip | 07739-1241
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Country | US
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Telephone | 732-450-1040
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Fax | 732-450-0120
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PRO13767-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05294700
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License Number State | NJ
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