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General NPI Number Information
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NPI Number | 1831298751
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Entity Type | Organization
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Legal Business Name | SINU-CLEAR INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 15910 VENTURA BLVD STE 1510
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City | ENCINO
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State | CA
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Zip | 91436-2827
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Country | US
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Telephone | 310-278-9171
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Fax | 310-278-2058
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Provider Business Mailing Address
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Address Line | 16110 SANDY LN
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City | ENCINO
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State | CA
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Zip | 91436-4222
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Country | US
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Telephone | 310-278-9171
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Fax | 310-278-2058
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DIANA VELASCO
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Credential |
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Telephone | 310-278-9171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | A21095
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License Number State | CA
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