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General NPI Number Information
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NPI Number | 1780299420
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Entity Type | Organization
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Legal Business Name | SSSD SOLUTIONS LLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 1400 REYNOLDS AVE STE 202
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City | IRVINE
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State | CA
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Zip | 92614-5563
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Country | US
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Telephone | 949-966-0432
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Fax | 949-415-2985
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Provider Business Mailing Address
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Address Line | 629 S MORNINGSTAR DR
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City | ANAHEIM
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State | CA
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Zip | 92808-1637
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Country | US
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Telephone | 949-966-0432
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Fax | 949-415-2985
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Authorized Official
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Title or Position | CLINICAL LAB MANAGER
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Name | SARITA SADHWANI
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Credential | MS, MPH
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Telephone | 949-966-0432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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