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General NPI Number Information
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NPI Number | 1699689067
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Entity Type | Organization
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Legal Business Name | SUNNY PLACE INC DBA SUNNY PLACE OF STOCKTON
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 807 W SWAIN RD
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City | STOCKTON
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State | CA
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Zip | 95207-4222
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Country | US
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Telephone | 209-956-8677
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Fax |
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Provider Business Mailing Address
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Address Line | 5710 MIRAMONTE WAY
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City | STOCKTON
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State | CA
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Zip | 95219-7172
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Country | US
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Telephone | 209-956-8677
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Fax | 209-956-8698
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. EXPECTACION F VIERRA
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Credential |
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Telephone | 209-470-5146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State | NULL
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | NULL
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