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General NPI Number Information
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NPI Number | 1073175279
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Entity Type | Organization
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Legal Business Name | SUNSHINE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 283 UPLAND RD
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3927
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Country | US
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Telephone | 949-877-6873
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT#880600 PO BOX 29650
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City | PHOENIX
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State | AZ
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Zip | 85038-9650
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Country | US
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Telephone | 949-988-0471
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Fax | 949-325-7818
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Authorized Official
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Title or Position | DIRECTOR OF COMPLIANCE
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Name | STEPHEN VANHOOSER
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Credential |
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Telephone | 949-750-2014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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