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General NPI Number Information
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NPI Number | 1215515838
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Entity Type | Organization
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Legal Business Name | SUNFLOWER FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 20351 OLD CUTLER RD
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City | CUTLER BAY
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State | FL
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Zip | 33189-1831
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Country | US
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Telephone | 305-217-1736
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Fax |
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Provider Business Mailing Address
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Address Line | 20520 SW 84TH AVE
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City | CUTLER BAY
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State | FL
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Zip | 33189-2616
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Country | US
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Telephone | 305-915-7406
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Fax |
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Authorized Official
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Title or Position | OWNER/APRN
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Name | JESSICA V RODRIGUEZ
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Credential | APRN
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Telephone | 305-915-7406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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