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General NPI Number Information
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NPI Number | 1427871276
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Entity Type | Organization
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Legal Business Name | SUNSHINE WELLNESS SERVICES LLC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1830 NW 7TH ST STE 221
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City | MIAMI
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State | FL
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Zip | 33125-3562
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Country | US
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Telephone | 786-355-9050
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 NW 7TH ST STE 221
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City | MIAMI
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State | FL
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Zip | 33125-3562
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Country | US
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Telephone | 786-355-9050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIENA LEON
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Credential |
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Telephone | 786-355-9050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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