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General NPI Number Information
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NPI Number | 1205626819
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Entity Type | Organization
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Legal Business Name | SUNSHINE PEDIATRIC DAY CENTER, ROWLETT, LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 6617 HERITAGE PKWY
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City | ROCKWALL
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State | TX
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Zip | 75087-8750
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Country | US
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Telephone | 972-453-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 13355 NOEL RD STE 1310
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City | DALLAS
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State | TX
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Zip | 75240-6623
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DAVID MAYMON
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Credential |
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Telephone | 954-881-8230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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