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General NPI Number Information
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NPI Number | 1396469458
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Entity Type | Organization
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Legal Business Name | SUNSHINE FAMILY PSYCH & WELLNESS, LLC
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 7646 BROOKLINE ST
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-5614
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Country | US
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Telephone | 727-278-6445
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Fax | 813-762-1388
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Provider Business Mailing Address
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Address Line | 4388 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-1965
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Country | US
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Telephone | 727-278-6445
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Fax | 813-762-1388
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KIMBERLY MARIE HYMILLER
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Credential | MSN, ARNP, FNP-C
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Telephone | 727-278-6445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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