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General NPI Number Information
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NPI Number | 1700064243
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Entity Type | Organization
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Legal Business Name | SUN MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 5475 E LA PALMA AVE STE 209
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City | ANAHEIM
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State | CA
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Zip | 92807-2075
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Country | US
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Telephone | 714-637-1900
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Fax | 866-551-6625
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Provider Business Mailing Address
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Address Line | 5475 E LA PALMA AVE STE 209
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City | ANAHEIM
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State | CA
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Zip | 92807-2075
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Country | US
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Telephone | 714-637-1900
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Fax | 866-551-6625
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Authorized Official
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Title or Position | CEO
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Name | DR. JAMES (JIM, JIMMY) JYH-MING SUN
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Credential | M.D.
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Telephone | 714-692-2629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | A72737
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License Number State | CA
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