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General NPI Number Information
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NPI Number | 1356107767
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Entity Type | Organization
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Legal Business Name | CAMP SUNSHINE INC
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 5575 S GORDON AVE
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City | NEWAYGO
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State | MI
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Zip | 49337-9735
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Country | US
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Telephone | 616-459-2267
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Fax |
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Provider Business Mailing Address
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Address Line | 291 W LAKEWOOD BLVD STE G
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City | HOLLAND
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State | MI
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Zip | 49424-1969
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Country | US
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Telephone | 616-994-9897
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHLEEN ROHLMAN
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Credential |
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Telephone | 616-994-9897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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