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NPI 1477141067

NPI 1477141067 : SIERRA L STOTTSBERRY PH.D. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1477141067
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    Entity Type          |    Individual 
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    Provider Name        |    SIERRA L STOTTSBERRY PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/08/2021
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    Last Update Date     |    01/08/2023
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Provider Practice Location Address
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    Address Line         |    6502 BANDERA RD STE 211 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78238-1400
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    Country              |    US
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    Telephone            |    210-281-4335
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    Fax                  |    210-944-4495
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Provider Business Mailing Address
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    Address Line         |    6502 BANDERA RD STE 211 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78238-1400
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    Country              |    US
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    Telephone            |    210-281-4335
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    Fax                  |    210-944-4495
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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        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    174H00000X
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    Taxonomy Name        |    Health Educator
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    175L00000X
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    Taxonomy Name        |    Homeopath
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YP1600X
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    Taxonomy Name        |    Pastoral Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    MT134262
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    246RP1900X
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    Taxonomy Name        |    Phlebotomy Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    374K00000X
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    Taxonomy Name        |    Religious Nonmedical Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    
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    License Number State |    
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