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General NPI Number Information
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NPI Number | 1114880614
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Entity Type | Organization
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Legal Business Name | SUNNYBRIDGE HOME CARE LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 350 E 1ST AVE FL 1
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City | COLUMBUS
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State | OH
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Zip | 43201-3792
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Country | US
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Telephone | 614-526-1313
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 166
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City | NEW CITY
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State | NY
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Zip | 10956-0166
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | CHAYA SHIPPER
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Credential |
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Telephone | 614-526-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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