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General NPI Number Information
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NPI Number | 1770296329
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Entity Type | Organization
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Legal Business Name | SUNSCARE.INC
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 419 E EL CAMINO REAL
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City | SUNNYVALE
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State | CA
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Zip | 94087-9408
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Country | US
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Telephone | 650-814-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 NORWALK DR APT 26
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City | SAN JOSE
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State | CA
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Zip | 95129-5404
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Country | US
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Telephone | 650-814-6601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. XIAOGUANG SUN
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Credential | O.M.D.
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Telephone | 650-814-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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