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General NPI Number Information
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NPI Number | 1437391265
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Entity Type | Organization
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Legal Business Name | SUNSHINE ORTHOPAEDICS ASSOCIATES, INC.
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 14010 21ST ST
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City | DADE CITY
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State | FL
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Zip | 33525-3915
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Country | US
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Telephone | 352-567-6157
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Fax | 352-567-6152
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Provider Business Mailing Address
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Address Line | 14010 21ST ST
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City | DADE CITY
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State | FL
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Zip | 33525-3915
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Country | US
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Telephone | 352-567-6157
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Fax | 352-567-6152
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL ROTHMAN
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Credential | M.D.
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Telephone | 352-567-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME32998
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License Number State | FL
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