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General NPI Number Information
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NPI Number | 1427135987
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Entity Type | Organization
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Legal Business Name | SUNSHINE PEDIATRICS LLP
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4920 N EXPRESSWAY ALTON GLOOR PLAZA 101
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4121
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Country | US
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Telephone | 956-350-5530
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Fax | 956-350-5527
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Provider Business Mailing Address
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Address Line | 1474 W PRICE RD # 536
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8687
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Country | US
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Telephone | 956-350-5530
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Fax | 956-350-5527
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Authorized Official
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Title or Position | BUSS. ADMINISTRATOR
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Name | SYED Q JLAIL
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Credential |
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Telephone | 956-350-5530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | K3259
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License Number State | TX
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