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General NPI Number Information
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NPI Number | 1023709573
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Entity Type | Organization
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Legal Business Name | SUN HEALTH AND WELLNESS, INC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 1300 US HIGHWAY 27 N STE 2
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City | SEBRING
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State | FL
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Zip | 33870-1950
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Country | US
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Telephone | 863-547-9996
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Fax |
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Provider Business Mailing Address
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Address Line | 401 E HINSON AVE
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City | HAINES CITY
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State | FL
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Zip | 33844-5237
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BALA KODE
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Credential |
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Telephone | 863-547-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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