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General NPI Number Information
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NPI Number | 1245951292
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Entity Type | Organization
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Legal Business Name | SUNSET COAST ASSISTED LIVING INC
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1697 DONAX AVE
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City | SAN DIEGO
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State | CA
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Zip | 92154-1004
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Country | US
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Telephone | 619-882-5003
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Fax |
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Provider Business Mailing Address
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Address Line | 4364 BONITA RD
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City | BONITA
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State | CA
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Zip | 91902-1421
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSE
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Name | VANESSA NUNEZ
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Credential |
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Telephone | 619-882-5003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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