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General NPI Number Information
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NPI Number | 1861192791
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Entity Type | Organization
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Legal Business Name | SUNIL JESWANI, MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 5525 GROSSMONT CENTER DR STE 602
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City | LA MESA
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State | CA
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Zip | 91942-3009
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Country | US
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Telephone | 714-856-5472
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Fax |
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Provider Business Mailing Address
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Address Line | 23052 ALICIA PKWY STE 619
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City | MISSION VIEJO
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State | CA
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Zip | 92692-1643
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Country | US
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Telephone | 714-856-5472
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNIL JESWANI
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Credential | MD
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Telephone | 714-856-5472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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