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General NPI Number Information
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NPI Number | 1912069568
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Entity Type | Organization
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Legal Business Name | SIERRA MANAGEMENT SERVICES INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 1110 CIVIC CENTER BLVD # 502
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City | YUBA CITY
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State | CA
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Zip | 95993-3013
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Country | US
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Telephone | 530-671-7977
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Fax | 530-671-6163
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Provider Business Mailing Address
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Address Line | 1110 CIVIC CENTER BLVD # 502
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City | YUBA CITY
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State | CA
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Zip | 95993-3013
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Country | US
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Telephone | 530-671-7977
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Fax | 530-671-6163
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Authorized Official
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Title or Position | CFO
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Name | MRS. SIRI PRITAM KHALSA
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Credential |
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Telephone | 530-671-7770
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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 |
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License Number State |
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