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General NPI Number Information
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NPI Number | 1356223853
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Entity Type | Individual
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Provider Name | SIERRA GAGE RN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 19100 VON KARMAN AVE STE 260
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City | IRVINE
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State | CA
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Zip | 92612-6557
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Country | US
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Telephone | 949-868-5004
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Fax |
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Provider Business Mailing Address
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Address Line | 19100 VON KARMAN AVE STE 260
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City | IRVINE
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State | CA
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Zip | 92612-6557
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Country | US
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Telephone | 949-868-5004
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95036820
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2390264
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95420052
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License Number State | CA
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