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NPI 1093362246

NPI 1093362246 : SUN CARE ENTERPRISES INC : BRADENTON, FL

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General NPI Number Information
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    NPI Number           |    1093362246
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUN CARE ENTERPRISES INC 
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Dates
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    Enumeration Date     |    08/22/2019
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    Last Update Date     |    08/22/2019
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Provider Practice Location Address
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    Address Line         |    501 VILLAGE GREEN PKWY STE 17 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34209-3401
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    Country              |    US
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    Telephone            |    941-900-4286
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    Fax                  |    941-254-7543
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Provider Business Mailing Address
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    Address Line         |    501 VILLAGE GREEN PKWY STE 17 
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    City                 |    BRADENTON
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    State                |    FL
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    Zip                  |    34209-3401
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    Country              |    US
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    Telephone            |    941-900-4286
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    Fax                  |    941-254-7543
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Authorized Official
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    Title or Position    |    PRESIDENT /FRANCHISE OWNER
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    Name                 |    MISS DANA LEE OPSINCS 
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    Credential           |    
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    Telephone            |    941-900-4286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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