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General NPI Number Information
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NPI Number | 1669055703
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Entity Type | Individual
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Provider Name | ALBERT ANTHONY SIERRA
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Gender | Male
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 1001 ROCK QUARRY RD
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City | RALEIGH
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State | NC
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Zip | 27610-3825
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Country | US
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Telephone | 919-836-5381
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 JUSTICE WALK AVE
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City | MORRISVILLE
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State | NC
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Zip | 27560-5596
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Country | US
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Telephone | 919-579-3233
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P016121
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License Number State | NC
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