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General NPI Number Information
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NPI Number | 1154826956
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Entity Type | Organization
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Legal Business Name | SUNSHINE CAREGIVERS OF VOLUSIA COUNTY LLC
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 464 SOTHEBY WAY
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City | DEBARY
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State | FL
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Zip | 32713-4900
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Country | US
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Telephone | 407-748-4480
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Fax | 407-479-3635
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Provider Business Mailing Address
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Address Line | 1377 CHATFIELD PL
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City | ORLANDO
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State | FL
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Zip | 32814-6619
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Country | US
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Telephone | 407-748-4480
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Fax | 407-479-3635
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | TINA KUGA
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Credential |
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Telephone | 407-748-4480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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