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General NPI Number Information
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NPI Number | 1407026891
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Entity Type | Organization
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Legal Business Name | SUNSHINE MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 304 AIKEN AVENUE UNIT C
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City | PERRYVILLE
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State | MD
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Zip | 21903
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Country | US
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Telephone | 410-642-6414
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Fax | 410-642-6414
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Provider Business Mailing Address
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Address Line | 304 AIKEN AVENUE UNIT C
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City | PERRYVILLE
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State | MD
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Zip | 21903
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Country | US
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Telephone | 410-642-6414
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Fax | 410-642-6414
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Authorized Official
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Title or Position | OWNER
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Name | KIONNA M RANSOME
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Credential |
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Telephone | 410-642-6414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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