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General NPI Number Information
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NPI Number | 1518080308
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Entity Type | Individual
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Provider Name | MARIANELLA SIERRAALTA DDS
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 27510 CASHFORD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6910
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Country | US
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Telephone | 813-973-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 27510 CASHFORD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6910
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Country | US
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Telephone | 813-973-8555
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 2901017394
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 17472
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License Number State | FL
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