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General NPI Number Information
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NPI Number | 1487148425
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Entity Type | Organization
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Legal Business Name | SUNSHINE MEDICAL, INC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 845 JACKSON ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94133-4851
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Country | US
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Telephone | 415-982-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 817 COFFEE ROAD C3
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City | MODESTO
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State | CA
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Zip | 95355-4241
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Country | US
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Telephone | 209-529-9603
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Fax | 209-529-6610
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Authorized Official
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Title or Position | CEO
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Name | YANG SUN
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Credential | MD
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Telephone | 480-319-4733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A77809
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License Number State | CA
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