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General NPI Number Information
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NPI Number | 1336208362
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Entity Type | Organization
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Legal Business Name | SUNMED MEDICAL SYSTEMS LLC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 3532 KATELLA AVE STE 112
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3145
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Country | US
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Telephone | 619-644-2695
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Fax | 619-644-2698
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Provider Business Mailing Address
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Address Line | 36 ROUTE 70 W STE 214
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City | MARLTON
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State | NJ
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Zip | 08053-3024
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Country | US
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Telephone | 800-714-7434
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Fax | 800-715-5422
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM ANTHONY LOBOSCO
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Credential |
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Telephone | 800-714-7434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 011064
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License Number State | CA
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