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General NPI Number Information
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NPI Number | 1447898648
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Entity Type | Organization
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Legal Business Name | ANYTIME SUNSHINE HEALTH LLC
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 12/25/2019
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Provider Practice Location Address
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Address Line | 19563 TIMBERBLUFF DR
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City | LAND O LAKES
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State | FL
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Zip | 34638-2589
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Country | US
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Telephone | 240-229-2704
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Fax |
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Provider Business Mailing Address
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Address Line | 19563 TIMBERBLUFF DR
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City | LAND O LAKES
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State | FL
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Zip | 34638-2589
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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 | MEDICAL RECORDS CUSTODIAN
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Name | JOSEPH NGUENEBA
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Credential |
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Telephone | 240-229-2704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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