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General NPI Number Information
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NPI Number | 1023964046
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Entity Type | Organization
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Legal Business Name | SUNFINITY
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 31501 RANCHO VIEJO RD STE 102
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1870
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Country | US
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Telephone | 702-779-9200
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Fax | 702-240-6545
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Provider Business Mailing Address
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Address Line | 2451 PROFESSIONAL CT STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89128-0827
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Country | US
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Telephone | 702-779-9200
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Fax | 702-240-6545
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Authorized Official
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Title or Position | MANAGER
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Name | SEAN SU
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Credential | MD
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Telephone | 702-779-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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