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NPI 1427699107

NPI 1427699107 : SUNCARE THERAPY, INC : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1427699107
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNCARE THERAPY, INC 
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Dates
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    Enumeration Date     |    10/03/2019
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    Last Update Date     |    10/03/2019
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Provider Practice Location Address
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    Address Line         |    111 GRANT PALMS DR 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33027
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    Country              |    US
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    Telephone            |    305-231-5266
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15524 NW 77TH CT 
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    City                 |    MIAMI LAKES
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    State                |    FL
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    Zip                  |    33016
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    Country              |    US
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    Telephone            |    305-231-5266
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    Fax                  |    305-231-5264
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     ASTRID  ARRIETA 
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    Credential           |    
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    Telephone            |    305-231-5266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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