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General NPI Number Information
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NPI Number | 1962148502
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Entity Type | Organization
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Legal Business Name | SUNNY ABA LLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 419 WEBSTER ST STE 202
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City | MONTEREY
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State | CA
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Zip | 93940-3241
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Country | US
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Telephone | 831-830-1505
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Fax |
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Provider Business Mailing Address
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Address Line | 419 WEBSTER ST STE 202
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City | MONTEREY
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State | CA
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Zip | 93940-3241
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Country | US
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Telephone | 831-830-1505
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VLADIMIR KOGAN
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Credential |
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Telephone | 646-598-7765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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