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General NPI Number Information
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NPI Number | 1225087836
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Entity Type | Organization
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Legal Business Name | JENNIFER SUN, MD INC.
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 689 W FOOTHILL BLVD SUITE B
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City | CLAREMONT
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State | CA
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Zip | 91711-3400
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Country | US
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Telephone | 909-482-2058
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Fax | 909-482-2092
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Provider Business Mailing Address
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Address Line | 689 W FOOTHILL BLVD SUITE B
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City | CLAREMONT
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State | CA
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Zip | 91711-3400
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Country | US
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Telephone | 909-482-2058
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Fax | 909-482-2092
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JENNIFER CHIA JUNE SUN
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Credential | M.D.
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Telephone | 909-392-3230
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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 | A85118
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License Number State | CA
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