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General NPI Number Information
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NPI Number | 1457539926
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Entity Type | Organization
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Legal Business Name | SUNRISE WOMEN MEDICAL GROUP, INC
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 18300 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4105
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Country | US
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Telephone | 818-700-5678
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Fax | 323-488-9782
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Provider Business Mailing Address
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Address Line | 541 W COLORADO ST STE 205
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City | GLENDALE
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State | CA
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Zip | 91204-3640
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Country | US
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Telephone | 323-254-0046
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Fax | 323-488-9782
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREEN HSUEH
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Credential | MD
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Telephone | 818-700-5678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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