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General NPI Number Information
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NPI Number | 1447384219
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Entity Type | Organization
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Legal Business Name | SUNSHINE REHABILITATION INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 6710 WINKLER RD UNIT # 4
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City | FORT MYERS
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State | FL
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Zip | 33919-7274
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Country | US
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Telephone | 239-437-6620
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Fax | 239-437-6619
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Provider Business Mailing Address
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Address Line | 6710 WINKLER RD UNIT # 4
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City | FORT MYERS
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State | FL
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Zip | 33919-7274
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Country | US
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Telephone | 239-437-6620
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Fax | 239-437-6619
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. PERIASWAMY SUBASH CHANDAR
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Credential | P.T.
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Telephone | 239-437-6620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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