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1710501838 NPI number — SIERRA FRANCIS DYER GC

NPI Number: 1710501838
Health Care Provider/Practitioner: SIERRA FRANCIS DYER GC

Information about “1710501838” NPI (SIERRA FRANCIS DYER GC) exists in 1710501838 in HTML format HTML  |  1710501838 in plain Text format TXT  |  1710501838 in PDF (Portable Document Format) PDF  |  1710501838 in an XML format XML  formats.

NPI Number : 1710501838 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710501838",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DYER",
    "FirstName": "SIERRA",
    "MiddleName": "FRANCIS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "GC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1497 STARCROSS LN APT 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46280-3005",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-745-5982",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8091 TOWNSHIP LINE RD STE 108",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46260-2495",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-415-8074",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/04/2020",
    "LastUpdateDate": "06/04/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "170300000X",
        "TaxonomyName": "Genetic Counselor (M.S.)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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