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General NPI Number Information
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NPI Number | 1851752877
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Entity Type | Individual
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Provider Name | MS. DONNA T SIERRA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 850 E MAIN ST
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City | BARSTOW
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State | CA
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Zip | 92311-2347
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Country | US
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Telephone | 760-613-6381
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Fax |
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Provider Business Mailing Address
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Address Line | 2053 PRINCETON DR
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City | BARSTOW
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State | CA
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Zip | 92311-6641
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Country | US
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Telephone | 760-613-6381
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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