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General NPI Number Information
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NPI Number | 1356593081
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Entity Type | Organization
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Legal Business Name | SUNSHINE HEALTH NETWORK, INC
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Dates
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Enumeration Date | 10/13/2008
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Last Update Date | 11/29/2019
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Provider Practice Location Address
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Address Line | 15321 S DIXIE HWY STE 206
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1814
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Country | US
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Telephone | 786-732-7855
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Fax | 786-732-7809
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Provider Business Mailing Address
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Address Line | 15321 S DIXIE HWY STE 309
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1873
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Country | US
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Telephone | 786-732-7855
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Fax | 786-732-7809
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Authorized Official
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Title or Position | CEO
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Name | MR. PETER PROSPERE
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Credential |
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Telephone | 786-732-7855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA3280
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH6701
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License Number State | FL
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