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General NPI Number Information
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NPI Number | 1942502646
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Entity Type | Organization
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Legal Business Name | PACIFIC SUNRAI LLC
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 6478 GLORIA DR 45
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City | SACRAMENTO
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State | CA
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Zip | 95831-1773
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Country | US
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Telephone | 916-290-3716
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Fax |
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Provider Business Mailing Address
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Address Line | 6478 GLORIA DRIVE 45
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-290-3716
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES AYIN
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Credential |
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Telephone | 916-290-3716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | B9777548
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License Number State | CA
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