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NPI 1467166108

NPI 1467166108 : MS. SIERRA POWERS : GAHANNA, OH

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General NPI Number Information
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    NPI Number           |    1467166108
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    Entity Type          |    Individual 
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    Provider Name        |    MS. SIERRA POWERS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/09/2023
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    300 S HAMILTON RD 
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    City                 |    GAHANNA
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    State                |    OH
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    Zip                  |    43230-3308
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    Country              |    US
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    Telephone            |    614-416-6446
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 932958 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44193-0028
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    Country              |    US
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    Telephone            |    
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    50.009503RX
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    License Number State |    OH
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