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General NPI Number Information
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NPI Number | 1821747718
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Entity Type | Organization
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Legal Business Name | SIERRA CHARTERS LLC
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Dates
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Enumeration Date | 03/20/2022
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 65 E SIERRA AVE
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City | PORTOLA
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State | CA
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Zip | 96122-8409
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Country | US
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Telephone | 530-927-7305
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Fax |
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Provider Business Mailing Address
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Address Line | 65 E SIERRA AVE
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City | PORTOLA
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State | CA
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Zip | 96122-8409
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Country | US
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Telephone | 530-927-7305
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | STEVEN KENYON BETTS
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Credential |
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Telephone | 530-394-4155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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