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General NPI Number Information
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NPI Number | 1285074518
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Entity Type | Organization
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Legal Business Name | SUNNY STYLE SOBER LIVING LLC
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 22798 SW 65TH WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-5303
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Country | US
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Telephone | 855-786-7895
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Fax | 800-915-3685
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Provider Business Mailing Address
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Address Line | 16520 GATEWAY BRIDGE DR
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City | DELRAY BEACH
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State | FL
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Zip | 33446-9666
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Country | US
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Telephone | 855-786-7895
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Fax | 800-915-3685
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Authorized Official
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Title or Position | CEO
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Name | MRS. NEISHA ZAFFUTO
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Credential | OWNER
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Telephone | 855-786-7895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | FL
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