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General NPI Number Information
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NPI Number | 1124006051
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Entity Type | Organization
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Legal Business Name | SUN-TRIUNE HEALTHCARE, INC.
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 3055 WILSHIRE BLVD STE 890
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City | LOS ANGELES
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State | CA
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Zip | 90010-1137
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Country | US
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Telephone | 213-632-1445
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Fax | 213-632-1447
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Provider Business Mailing Address
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Address Line | 3055 WILSHIRE BLVD STE 890
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City | LOS ANGELES
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State | CA
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Zip | 90010-1137
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Country | US
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Telephone | 213-632-1445
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Fax | 213-632-1447
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Authorized Official
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Title or Position | CEO
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Name | MR. ROMEO TOLENTINO
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Credential |
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Telephone | 213-632-1445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 980001448
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License Number State | CA
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