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NPI Code Detail

MEDICARE: SIERRA TARPINIAN

MEDICARE: SIERRA TARPINIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSP-1175-SAMA

General Provider Information

NPI Number : 1730588971
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA TARPINIAN
Provider Business Mailing Address
First Line : 578 WASHINGTON ST
Second Line : APT 2
City : BRIGHTON
State : MA
Zip : 02135-2546
Country : US
Telephone Number : 860-803-6180
Fax Number :
Provider Business Practice Location Address
First Line : 578 WASHINGTON ST
Second Line : APT 2
City : BRIGHTON
State : MA
Zip : 02135-2546
Country : US
Telephone Number : 860-803-6180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2014
Last Update Date : 08/13/2014

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Directions to “ SIERRA TARPINIAN ” Practice Location

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