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General NPI Number Information
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NPI Number | 1295100980
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Entity Type | Organization
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Legal Business Name | SUNSHINE THERAPY GROUP, PA
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Dates
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Enumeration Date | 12/06/2015
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 2050 CLASSIQUE LANE
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City | TAVARES
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State | FL
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Zip | 32778
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Country | US
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Telephone | 352-978-2882
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Fax | 352-354-9863
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Provider Business Mailing Address
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Address Line | 3902 BRIDGES ROAD
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City | GROVELAND
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State | FL
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Zip | 34736
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Country | US
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Telephone | 352-978-2882
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Fax | 352-354-9863
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MAGGIE MAE SCHEETZ
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Credential |
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Telephone | 850-384-3790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA9397
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License Number State | FL
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