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General NPI Number Information
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NPI Number | 1851241590
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Entity Type | Organization
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Legal Business Name | SIERRA CARE
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 9120 SIERRA RD
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City | WOODBURY
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State | MN
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Zip | 55125-3555
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Country | US
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Telephone | 651-955-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 15505 53RD AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55446-1914
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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 | DIRECTOR
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Name | VAMSI DWARAM
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Credential |
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Telephone | 651-955-6747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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