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General NPI Number Information
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NPI Number | 1386034783
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Entity Type | Organization
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Legal Business Name | SUNNY J CARE HOME LLC
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 6127 E TOWNSEND AVE
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City | FRESNO
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State | CA
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Zip | 93727-5620
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Country | US
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Telephone | 155-938-5543
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Fax |
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Provider Business Mailing Address
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Address Line | 6714 E ORLEANS AVE
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City | FRESNO
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State | CA
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Zip | 93727-9042
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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 | ADMINISTRATOR
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Name | MISS JELLAINE RENEE HINUNANGAN
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Credential |
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Telephone | 15593855430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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