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General NPI Number Information
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NPI Number | 1700461563
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Entity Type | Organization
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Legal Business Name | SUSTAINABLE HEALTH INITIATIVE INC
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Dates
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Enumeration Date | 03/13/2021
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Last Update Date | 12/31/2023
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Provider Practice Location Address
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Address Line | 414 S PROSPECTORS RD STE C2
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1615
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Country | US
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Telephone | 909-225-2721
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Fax |
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Provider Business Mailing Address
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Address Line | 21809 PAINT BRUSH LN
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City | DIAMOND BAR
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State | CA
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Zip | 91765-2834
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Country | US
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Telephone | 909-225-2721
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. MOHAMMED ARIF KHAN
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Credential |
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Telephone | 909-225-2721
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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 |
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