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General NPI Number Information
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NPI Number | 1427960111
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Entity Type | Organization
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Legal Business Name | SIERRA FAMILY NUTRITION
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 96 OAK TREE WAY BLDG 6
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City | MAMMOTH LAKES
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State | CA
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Zip | 93546
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Country | US
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Telephone | 760-920-6574
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Fax | 760-582-4559
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Provider Business Mailing Address
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Address Line | 425 CLARKE ST UNIT B
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City | BISHOP
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State | CA
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Zip | 93514-3528
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Country | US
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Telephone | 760-920-6574
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Fax | 760-582-4559
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Authorized Official
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Title or Position | OWNER
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Name | GRACE VOORHEIS
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Credential | RD
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Telephone | 909-210-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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