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General NPI Number Information
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NPI Number | 1982688362
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Entity Type | Individual
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Provider Name | ANA MARIA SIERRA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 2205 N 30TH ST SUITE A
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City | TACOMA
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State | WA
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Zip | 98403-3320
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Country | US
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Telephone | 253-686-5184
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Fax | 844-965-9701
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Provider Business Mailing Address
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Address Line | 2522 N PROCTOR ST #355
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City | TACOMA
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State | WA
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Zip | 98406-5338
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Country | US
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Telephone | 253-686-5184
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Fax | 844-965-9701
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY00002251
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY00002251
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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