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General NPI Number Information
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NPI Number | 1447173083
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Entity Type | Individual
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Provider Name | MATTHEW SAYRE-JOHNSON
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Gender | Male
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 350 W BROOKSIDE AVE
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City | CHERRY VALLEY
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State | CA
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Zip | 92223-4073
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Country | US
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Telephone | 951-845-1631
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 VALARIA DR
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City | HIGHLAND
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State | CA
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Zip | 92346-2048
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Country | US
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Telephone | 909-362-9102
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 741494
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License Number State | CA
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