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General NPI Number Information
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NPI Number | 1467570788
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Entity Type | Organization
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Legal Business Name | SUNNYCARE REHAB AND HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20275 MONTEVERDI CIR
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City | BOCA RATON
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State | FL
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Zip | 33498-6782
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Country | US
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Telephone | 561-451-9526
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Fax | 561-883-2055
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Provider Business Mailing Address
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Address Line | 20275 MONTEVERDI CIR
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City | BOCA RATON
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State | FL
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Zip | 33498-6782
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Country | US
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Telephone | 561-451-9526
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Fax | 561-883-2055
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VIVIANA MADIEDO
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Credential | P.T.
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Telephone | 561-213-8728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 11511
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License Number State | FL
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