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General NPI Number Information
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NPI Number | 1598836108
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Entity Type | Organization
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Legal Business Name | SUNSET FAMILY MEDICAL CLINIC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3706 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90026-1528
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Country | US
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Telephone | 323-669-1036
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Fax | 323-661-9919
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Provider Business Mailing Address
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Address Line | 3706 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90026-1528
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Country | US
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Telephone | 323-669-1036
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Fax | 323-661-9919
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALFREDO ENRIQUE SWEENY
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Credential | M.D
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Telephone | 323-669-1036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | OOA250700
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License Number State | CA
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