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General NPI Number Information
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NPI Number | 1104128784
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Entity Type | Organization
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Legal Business Name | SUNSHINE HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 8362 PINES BLVD 181
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6600
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Country | US
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Telephone | 954-881-3294
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Fax | 888-398-0719
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Provider Business Mailing Address
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Address Line | 8362 PINES BLVD 181
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6600
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Country | US
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Telephone | 954-881-3294
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Fax | 888-398-0719
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN JEFFERY MADDUX
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Credential | D.C.
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Telephone | 954-881-3294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH6456
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License Number State | FL
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