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General NPI Number Information
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NPI Number | 1568902252
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Entity Type | Individual
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Provider Name | WE SUN PARK
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Gender | Female
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 12912 BROOKHURST ST STE 480
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4867
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Country | US
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Telephone | 714-527-6561
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Fax | 714-527-6563
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Provider Business Mailing Address
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Address Line | 3650 SANDPIPER WAY
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City | BREA
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State | CA
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Zip | 92823-1045
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Country | US
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Telephone | 714-403-4283
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | CA
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