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General NPI Number Information
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NPI Number | 1568536191
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Entity Type | Organization
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Legal Business Name | SIERRA FOOTHILLS SURGICAL SPECIALISTS INC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3257 PROFESSIONAL DRIVE SUITE E
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City | AUBURN
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State | CA
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Zip | 95602
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Country | US
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Telephone | 530-823-0701
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Fax | 530-823-0737
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Provider Business Mailing Address
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Address Line | 3257 PROFESSIONAL DRIVE SUITE E
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City | AUBURN
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State | CA
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Zip | 95602
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Country | US
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Telephone | 530-823-0701
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Fax | 530-823-0737
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Authorized Official
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Title or Position | MD
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Name | JEFFREY R JENKINS
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Credential | MD
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Telephone | 530-823-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A49907
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G83638
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G84850
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 14936
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License Number State | CA
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