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General NPI Number Information
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NPI Number | 1528097482
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Entity Type | Organization
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Legal Business Name | SUNSET PHYSICAL THERAPY CORPORATION
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18800 MAIN ST STE 104
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648
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Country | US
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Telephone | 714-843-9077
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Fax | 562-799-8832
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Provider Business Mailing Address
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Address Line | 5901 WARNER AVE #418
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-4659
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Country | US
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Telephone | 714-843-9077
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Fax | 562-799-8832
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT JAMES MACDONALD II
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Credential | DOCTOR OF PHYSICAL T
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Telephone | 714-843-9077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24666
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License Number State |
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