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General NPI Number Information
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NPI Number | 1518969211
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Entity Type | Organization
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Legal Business Name | CLINICA SIERRA VISTA
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 1305 BEAR MOUNTAIN BLVD
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City | ARVIN
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State | CA
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Zip | 93203-1231
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Country | US
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Telephone | 661-854-3131
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Fax | 661-854-2689
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Provider Business Mailing Address
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Address Line | PO BOX 1559
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1559
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Country | US
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Telephone | 661-635-3050
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Fax | 661-732-3064
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. OLGA MEAVE
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Credential | MD
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Telephone | 661-635-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 120000525
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License Number State | CA
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