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General NPI Number Information
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NPI Number | 1104504166
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Entity Type | Organization
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Legal Business Name | ROSEMEAD MEDICAL CLINIC
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 3318 DEL MAR AVE STE 205
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City | ROSEMEAD
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State | CA
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Zip | 91770-2373
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Country | US
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Telephone | 626-571-5577
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Fax | 626-571-7405
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Provider Business Mailing Address
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Address Line | 3318 DEL MAR AVE STE 205
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City | ROSEMEAD
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State | CA
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Zip | 91770-2373
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Country | US
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Telephone | 626-571-5577
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Fax | 626-571-7405
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HELEN SUN
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Credential | NP-C, DNP
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Telephone | 626-571-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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