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General NPI Number Information
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NPI Number | 1063316834
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Entity Type | Organization
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Legal Business Name | SUNBURST REHABILITATION, LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 505 ARIANA AVE
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City | AUBURNDALE
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State | FL
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Zip | 33823-4139
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Country | US
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Telephone | 863-226-0358
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Fax |
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Provider Business Mailing Address
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Address Line | 505 ARIANA AVE
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City | AUBURNDALE
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State | FL
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Zip | 33823-4139
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Country | US
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Telephone | 863-226-0358
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT/AR
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Name | SAVITRI JOHNSON
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Credential |
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Telephone | 863-226-0358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | NULL
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