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General NPI Number Information
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NPI Number | 1194921726
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Entity Type | Organization
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Legal Business Name | MIAMI SUNSHINE HEALTH CARE INC
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 6700 NW 72 AVE
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City | MIAMI
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State | FL
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Zip | 33166-2082
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Country | US
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Telephone | 305-887-7891
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Fax | 305-887-7892
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Provider Business Mailing Address
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Address Line | 6700 NW 72ND AVE
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City | MIAMI
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State | FL
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Zip | 33166-3032
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Country | US
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Telephone | 305-887-7891
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Fax | 305-887-7892
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANELYS RODRIGUEZ
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Credential |
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Telephone | 305-227-9177
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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 |
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