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General NPI Number Information
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NPI Number | 1316575467
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Entity Type | Organization
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Legal Business Name | CLINICA SIERRA VISTA
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 2740 S ELM AVE RM 2
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City | FRESNO
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State | CA
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Zip | 93706-5435
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Country | US
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Telephone | 559-540-7860
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Fax | 888-910-5289
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Provider Business Mailing Address
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Address Line | 1430 TRUXTUN AVENUE, STE 400
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5220
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Country | US
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Telephone | 661-635-3050
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Fax | 661-732-3064
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. OLGA MEAVE
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Credential | MD
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Telephone | 661-635-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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