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General NPI Number Information
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NPI Number | 1184698581
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Entity Type | Organization
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Legal Business Name | SUNFLOWER PARK HEALTH CARE INC
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1803 E HIGHWAY 243
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City | KAUFMAN
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State | TX
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Zip | 75142-4118
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Country | US
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Telephone | 972-932-7776
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Fax | 972-932-8916
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Provider Business Mailing Address
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Address Line | 1803 E HIGHWAY 243
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City | KAUFMAN
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State | TX
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Zip | 75142-4118
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Country | US
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Telephone | 972-932-7776
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Fax | 972-932-8916
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. TIMOTHY C OSULLIVAN
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Credential |
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Telephone | 972-932-7776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 113226
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License Number State | TX
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