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General NPI Number Information
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NPI Number | 1053137695
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Entity Type | Organization
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Legal Business Name | SUNSHINE WELLNESS CLINIC INC
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Dates
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Enumeration Date | 11/27/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 901 SE JOHNSON AVE STE LH
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City | STUART
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State | FL
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Zip | 34994-3816
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Country | US
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Telephone | 772-453-1072
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Fax | 772-510-4229
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Provider Business Mailing Address
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Address Line | 2404 NE PALM AVE
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City | JENSEN BEACH
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State | FL
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Zip | 34957-5246
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Country | US
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Telephone | 772-453-1072
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Fax | 772-510-4229
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Authorized Official
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Title or Position | PROVIDER
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Name | TROY JOSEPH GOLDENBERG
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Credential | AP
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Telephone | 772-453-1072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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