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General NPI Number Information
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NPI Number | 1417320540
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Entity Type | Organization
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Legal Business Name | SIERRA PEDIATRIC BLOOD AND CANCER CONSORTIUM
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Dates
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Enumeration Date | 11/11/2015
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 75 PRINGLE WAY
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City | RENO
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State | NV
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Zip | 89502-1464
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Country | US
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Telephone | 775-284-8989
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Fax | 775-432-1099
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Provider Business Mailing Address
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Address Line | 75 PRINGLE WAY
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City | RENO
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State | NV
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Zip | 89502-1464
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Country | US
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Telephone | 775-284-1913
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Fax | 775-432-1099
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Authorized Official
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Title or Position | CEO, AHN
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Name | MRS. SHERRI RAE RICE
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Credential |
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Telephone | 775-225-7839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number |
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License Number State |
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