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General NPI Number Information
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NPI Number | 1184596124
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Entity Type | Organization
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Legal Business Name | SUNSHINE SOUL CARE CORP
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 3105 NW 107TH AVE STE 400-B9
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City | DORAL
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State | FL
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Zip | 33172-2185
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Country | US
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Telephone | 305-335-5843
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Fax | 305-330-9161
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Provider Business Mailing Address
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Address Line | 10626 SW 69TH TER
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City | MIAMI
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State | FL
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Zip | 33173-1385
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Country | US
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Telephone | 305-335-5843
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Fax | 305-330-9161
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIA PERAZA
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Credential | APRN-PMHNP
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Telephone | 786-278-6544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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