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General NPI Number Information
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NPI Number | 1154100907
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Entity Type | Organization
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Legal Business Name | SUNNY PSCHOLOGICAL SERVICES INC
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 9033 BASE LINE RD STE A
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1214
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Country | US
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Telephone | 909-552-4696
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 LAKE AVE STE 6728
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City | ALTADENA
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State | CA
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Zip | 91001-2414
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Country | US
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Telephone | 909-552-4696
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Fax |
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Authorized Official
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Title or Position | PRESDIENT
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Name | DR. SEPIDEH ADHAMI
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Credential | PSY .D.
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Telephone | 909-552-4696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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