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General NPI Number Information
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NPI Number | 1205121761
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Entity Type | Organization
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Legal Business Name | SUNNY DAYS EARLY CHILDHOOD DEVELOPMENTAL SERVICES OF CA, LLC
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Dates
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Enumeration Date | 06/13/2011
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 8775 AERO DR SUITE 238
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City | SAN DIEGO
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State | CA
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Zip | 92123-1792
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Country | US
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Telephone | 805-571-0300
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Fax | 858-571-0050
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Provider Business Mailing Address
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Address Line | 8775 AERO DR SUITE 238
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City | SAN DIEGO
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State | CA
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Zip | 92123-1792
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Country | US
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Telephone | 805-571-0300
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Fax | 858-571-0050
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CAMERON MICHAEL STONE
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Credential | LCSW
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Telephone | 858-571-0030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | CA
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