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General NPI Number Information
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NPI Number | 1720619596
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Entity Type | Organization
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Legal Business Name | SUNNY SENIOR HOMES
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 4662 SCHOOL ST
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City | YORBA LINDA
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State | CA
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Zip | 92886-2440
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Country | US
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Telephone | 949-302-9891
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Fax |
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Provider Business Mailing Address
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Address Line | 4662 SCHOOL ST
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City | YORBA LINDA
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State | CA
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Zip | 92886-2440
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Country | US
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Telephone | 949-302-9891
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ADRIEL LANTZ PAO
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Credential |
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Telephone | 949-562-9159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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