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General NPI Number Information
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NPI Number | 1245051358
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Entity Type | Organization
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Legal Business Name | SUNSHINE RX
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 12108 VICTORY BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3205
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Country | US
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Telephone | 818-839-8810
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Fax | 818-859-1059
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Provider Business Mailing Address
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Address Line | 12108 VICTORY BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3205
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Country | US
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Telephone | 818-839-8810
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Fax | 818-859-1059
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Authorized Official
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Title or Position | CEO
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Name | ROZALYA GABRIYELOVA
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Credential |
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Telephone | 818-839-9910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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