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General NPI Number Information
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NPI Number | 1023303427
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Entity Type | Organization
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Legal Business Name | SUNSHINE COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 1100 NE 125TH ST SUITE 100
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5044
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Country | US
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Telephone | 305-891-5550
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Fax | 305-891-5515
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Provider Business Mailing Address
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Address Line | 1100 NE 125TH ST SUITE 100
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5044
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Country | US
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Telephone | 305-891-5550
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Fax | 305-891-5515
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PATRICK ROMEUS
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Credential | M.D.
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Telephone | 305-891-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME101559
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME101559
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License Number State | FL
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