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General NPI Number Information
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NPI Number | 1417442419
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Entity Type | Individual
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Provider Name | SIERRA C ARMSTRONG FNP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1067 4TH ST
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96150-3459
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Country | US
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Telephone | 530-600-1968
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Fax | 530-541-3361
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Provider Business Mailing Address
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Address Line | 2170 SOUTH AVE
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City | SOUTH LAKE TAHOE
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State | CA
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Zip | 96150-7026
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Country | US
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Telephone | 530-543-5659
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Fax | 530-541-8723
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95008336
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License Number State | CA
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