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General NPI Number Information
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NPI Number | 1114397866
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Entity Type | Organization
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Legal Business Name | SUNSHINE HEALTH CARE SERVICES, LLC
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 11161 E STATE ROAD 70 SUITE 110-175
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-9407
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Country | US
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Telephone | 941-906-1881
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Fax | 941-906-1190
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Provider Business Mailing Address
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Address Line | 11161 E STATE ROAD 70 SUITE 110-175
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-9407
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Country | US
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Telephone | 941-906-1881
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Fax | 941-906-1190
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA COGSWELL
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Credential |
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Telephone | 941-906-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 234049
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 234049
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 234049
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License Number State | FL
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