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General NPI Number Information
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NPI Number | 1932045168
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Entity Type | Organization
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Legal Business Name | SIERRA PLASTIC SURGERY LLP
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 107 MONMOUTH RD STE 103
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1021
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Country | US
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Telephone | 775-742-9174
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Fax |
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Provider Business Mailing Address
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Address Line | 107 MONMOUTH RD STE 103
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1021
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Country | US
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Telephone | 775-742-9174
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Fax | 732-333-6324
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Authorized Official
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Title or Position | CEO
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Name | DR. BORIS VOLSHTEYN
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Credential | MD
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Telephone | 775-742-9174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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