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General NPI Number Information
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NPI Number | 1902927593
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Entity Type | Organization
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Legal Business Name | ACADEMY OF THE SIERRAS A HEALTHY LIVING PROGRAM
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 42675 ROAD 44
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City | REEDLEY
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State | CA
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Zip | 93654-9146
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Country | US
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Telephone | 559-638-4570
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Fax | 559-638-2685
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Provider Business Mailing Address
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Address Line | 42675 ROAD 44
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City | REEDLEY
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State | CA
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Zip | 93654-9146
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Country | US
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Telephone | 559-638-4570
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Fax | 559-638-2685
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Authorized Official
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Title or Position | CEO
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Name | ELLIOT SAINER
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Credential |
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Telephone | 562-467-5507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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