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General NPI Number Information
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NPI Number | 1770909095
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Entity Type | Organization
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Legal Business Name | SUNDER ENTERPRISES INC.
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 2737 MACKINNON RANCH RD
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City | CARDIFF
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State | CA
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Zip | 92007-2208
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Country | US
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Telephone | 858-334-8958
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Fax |
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Provider Business Mailing Address
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Address Line | 2737 MACKINNON RANCH RD
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City | CARDIFF
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State | CA
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Zip | 92007
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Country | US
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Telephone | 858-334-8958
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MARJORIE ANN SUNDER
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Credential |
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Telephone | 858-334-8958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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