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General NPI Number Information
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NPI Number | 1447181573
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Entity Type | Organization
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Legal Business Name | SIERRA COAST INTERVENTIONAL PAIN
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 3001 I ST STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95816-4442
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Country | US
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Telephone | 916-264-9757
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Fax | 916-352-6406
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Provider Business Mailing Address
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Address Line | PO BOX 254577
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City | SACRAMENTO
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State | CA
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Zip | 95865-4577
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Country | US
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Telephone | 916-264-9757
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Fax | 916-352-6406
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Authorized Official
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Title or Position | CHIEF OF OPERATIONS
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Name | MS. MARY PEARSALL
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Credential |
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Telephone | 916-264-9757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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