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General NPI Number Information
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NPI Number | 1609694371
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Entity Type | Organization
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Legal Business Name | LANI CITY MEDICAL SPECIALTY
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 11398 KENYON WAY STE J
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91701-9229
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Country | US
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Telephone | 909-727-3911
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Fax | 909-727-3925
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Provider Business Mailing Address
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Address Line | 14071 PEYTON DR UNIT 2456
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City | CHINO HILLS
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State | CA
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Zip | 91709-7209
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Country | US
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Telephone | 909-727-3911
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Fax | 909-727-3925
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNIEL KHEMLANI
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Credential | MD
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Telephone | 909-727-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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