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General NPI Number Information
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NPI Number | 1871643122
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Entity Type | Organization
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Legal Business Name | SIERRA SYSTEMS, INC.
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14416 JEFFERSON DAVIS HWY SUITE 20
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City | WOODBRIDGE
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State | VA
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Zip | 22191-2801
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Country | US
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Telephone | 703-492-1680
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Fax | 703-492-1681
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Provider Business Mailing Address
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Address Line | 14416 JEFFERSON DAVIS HWY SUITE 20
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City | WOODBRIDGE
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State | VA
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Zip | 22191-2801
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Country | US
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Telephone | 703-492-1680
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Fax | 703-492-1681
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALMAMY COLESON TURAY
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Credential | MHS
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Telephone | 703-492-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-07367
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License Number State | VA
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