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General NPI Number Information
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NPI Number | 1316674500
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Entity Type | Organization
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Legal Business Name | SUN SPRING HEALTH CARE, LLC
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Dates
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Enumeration Date | 08/06/2022
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Last Update Date | 08/06/2022
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Provider Practice Location Address
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Address Line | 2302 SOCIETY DR
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City | CLAYMONT
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State | DE
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Zip | 19703-1791
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Country | US
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Telephone | 443-655-1512
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Fax |
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Provider Business Mailing Address
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Address Line | 2302 SOCIETY DR
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City | CLAYMONT
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State | DE
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Zip | 19703-1791
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Country | US
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Telephone | 443-655-1512
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LUCY HUIYU TONG
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Credential |
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Telephone | 443-655-1512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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