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General NPI Number Information
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NPI Number | 1548564735
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Entity Type | Organization
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Legal Business Name | SIERRA RHEUMATOLOGY INC, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/02/2011
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 151 N SUNRISE AVE SUITE 1201
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City | ROSEVILLE
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State | CA
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Zip | 95661-2924
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Country | US
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Telephone | 916-677-4744
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Fax | 916-781-2029
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Provider Business Mailing Address
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Address Line | 151 N SUNRISE AVE SUITE 1201
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City | ROSEVILLE
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State | CA
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Zip | 95661-2924
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Country | US
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Telephone | 916-677-4744
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Fax | 916-781-2029
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANUPAMA SAVITHRI BHAT
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Credential | M.D
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Telephone | 916-677-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A97133
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License Number State | CA
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