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General NPI Number Information
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NPI Number | 1316761257
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Entity Type | Organization
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Legal Business Name | SUNSHINE HOME RECOVERY
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 7320 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33637-0916
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Country | US
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Telephone | 813-644-2463
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Fax |
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Provider Business Mailing Address
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Address Line | 7320 E FLETCHER AVE
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City | TAMPA
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State | FL
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Zip | 33637-0916
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Country | US
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Telephone | 813-252-0636
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Fax | 813-296-6326
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Authorized Official
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Title or Position | MANAGING PARTNER/OWNER
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Name | DR. MATTHEW W BERRIOS
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Credential | DO
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Telephone | 813-644-2463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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