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General NPI Number Information
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NPI Number | 1427972330
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Entity Type | Organization
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Legal Business Name | A SUNSHINE RECOVERY HOME LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 3137 SE 8TH PL
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City | CAPE CORAL
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State | FL
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Zip | 33904-3514
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Country | US
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Telephone | 239-299-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 2035 EVEREST PKWY
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City | CAPE CORAL
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State | FL
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Zip | 33904-3289
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAFOUA VANG XIONG
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Credential |
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Telephone | 651-260-6048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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