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General NPI Number Information
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NPI Number | 1245653310
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Entity Type | Organization
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Legal Business Name | SUNSHINE MANOR LLC
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 1270 MCGEE RD
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City | PLANT CITY
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State | FL
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Zip | 33565-5126
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Country | US
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Telephone | 813-707-8308
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Fax | 813-707-9175
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Provider Business Mailing Address
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Address Line | 1270 MCGEE RD
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City | PLANT CITY
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State | FL
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Zip | 33565-5126
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Country | US
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Telephone | 813-707-8308
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Fax | 813-707-9175
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Authorized Official
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Title or Position | OWNER
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Name | LINDA RAMROOP
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Credential |
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Telephone | 813-707-8308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 10628
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License Number State | FL
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