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General NPI Number Information
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NPI Number | 1033364138
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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 | 11/18/2008
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 34300 S TALKEETNA SPUR
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City | TALKEETNA
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State | AK
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Zip | 99676-9709
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Country | US
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Telephone | 907-733-2273
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 787
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City | TALKEETNA
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State | AK
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Zip | 99676-0787
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Country | US
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Telephone | 907-733-2273
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Fax | 907-733-1735
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Authorized Official
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Title or Position | CREDENTAILING SPECIALIST
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Name | AMANDA SIMPSON
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Credential |
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Telephone | 907-733-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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