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General NPI Number Information
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NPI Number | 1740743806
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Entity Type | Individual
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Provider Name | SIERRA ONNAH E SISK CMT
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Gender | Female
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Dates
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Enumeration Date | 04/07/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 430 40TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-2691
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Country | US
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Telephone | 530-518-8075
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Fax |
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Provider Business Mailing Address
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Address Line | 549 37TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-2423
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 23341
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License Number State | CA
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