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General NPI Number Information
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NPI Number | 1548133762
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Entity Type | Organization
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Legal Business Name | SUNNY ISLES VENTURES LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 2639 W AVENUE K4
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City | LANCASTER
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State | CA
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Zip | 93536-5369
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Country | US
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Telephone | 661-579-9805
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Fax | 661-418-6510
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Provider Business Mailing Address
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Address Line | 2639 W AVENUE K4
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City | LANCASTER
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State | CA
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Zip | 93536-5369
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Country | US
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Telephone | 661-579-9805
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Fax | 661-418-6510
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Authorized Official
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Title or Position | CFO
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Name | MR. EUGENE VEKSLER
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Credential | CEO
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Telephone | 310-422-9480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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