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General NPI Number Information
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NPI Number | 1154339224
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Entity Type | Organization
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Legal Business Name | SUNSHINE NURSING AGENCY, INC.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 01/04/2016
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Provider Practice Location Address
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Address Line | 2810 N. BARONS PL.
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City | GARDEN CITY
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State | KS
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Zip | 67846-3767
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Country | US
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Telephone | 620-276-4974
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Fax | 620-272-9852
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Provider Business Mailing Address
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Address Line | 2810 N. BARONS PL.
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City | GARDEN CITY
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State | KS
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Zip | 67846-3767
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Country | US
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Telephone | 620-276-4974
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Fax | 620-272-9852
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. WILLIAM JOSEPH SAVOLT
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Credential | MSPT
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Telephone | 620-276-4974
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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 | KS
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