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General NPI Number Information
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NPI Number | 1871037200
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Entity Type | Organization
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Legal Business Name | SIERRA ORTHOPAEDIC PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 12/04/2016
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 1875 PLUMAS ST SUITE 4
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City | RENO
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State | NV
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Zip | 89509-3379
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Country | US
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Telephone | 775-683-9041
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Fax | 775-683-9043
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Provider Business Mailing Address
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Address Line | 1875 PLUMAS ST SUITE 4
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City | RENO
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State | NV
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Zip | 89509-3387
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Country | US
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Telephone | 775-683-9041
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Fax | 775-683-9043
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Authorized Official
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Title or Position | MANAGER, PHYSICAL THERAPIST
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Name | KEVIN LESTER
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Credential |
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Telephone | 775-683-9041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 3372
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License Number State | NV
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