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General NPI Number Information
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NPI Number | 1396554226
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Entity Type | Organization
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Legal Business Name | SUNSHINE KID THERAPIES LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 2345 E THOMAS RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85016-7858
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Country | US
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Telephone | 786-247-9161
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Fax |
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Provider Business Mailing Address
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Address Line | 19640 NW 58TH AVE
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City | HIALEAH
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State | FL
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Zip | 33015-4908
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Country | US
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Telephone | 786-247-9161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAROL SANTIAGO SANCHEZ DIAZ
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Credential |
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Telephone | 786-247-9161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | 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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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