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General NPI Number Information
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NPI Number | 1124832498
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Entity Type | Organization
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Legal Business Name | SUNSHINE THERAPY LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 2601 WYOMING BLVD NE STE 217
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-1033
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Country | US
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Telephone | 505-429-0198
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Fax |
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Provider Business Mailing Address
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Address Line | 8501 HARWOOD AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3206
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Country | US
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Telephone | 505-429-0198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDRA HERRERA
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Credential | LCSW, IMH-E-III
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Telephone | 505-429-0198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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