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General NPI Number Information
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NPI Number | 1811614720
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Entity Type | Individual
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Provider Name | SIERRA SIGLER NP
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Gender | Female
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Dates
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Enumeration Date | 10/21/2022
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 1306 MAPLE ST
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City | ELDORADO
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State | IL
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Zip | 62930-1662
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Country | US
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Telephone | 618-297-9665
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Fax | 618-297-9638
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Provider Business Mailing Address
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Address Line | 355 COUNTY ROAD 250 N
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City | NORRIS CITY
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State | IL
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Zip | 62869-3914
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Country | US
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Telephone | 618-384-7504
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.027132
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71013196A
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License Number State | IN
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