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General NPI Number Information
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NPI Number | 1962134197
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Entity Type | Organization
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Legal Business Name | SUNNY DAY RCFE LLC
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 4224 EMET CT
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City | SAN DIEGO
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State | CA
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Zip | 92117-5530
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Country | US
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Telephone | 858-483-9845
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Fax | 619-500-5298
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Provider Business Mailing Address
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Address Line | 8690 AERO DR STE 115-157
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City | SAN DIEGO
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State | CA
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Zip | 92123-1886
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Country | US
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Telephone | 858-285-0811
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSEE
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Name | DAN RAPHAEL
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Credential |
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Telephone | 858-285-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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