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General NPI Number Information
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NPI Number | 1487109831
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Entity Type | Organization
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Legal Business Name | RAY OF SUNSHINE EMPOWERMENT SERVICES LLC
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 710 OAKFIELD DR SUITE 210
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City | BRANDON
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State | FL
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Zip | 33511-4938
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Country | US
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Telephone | 813-523-6573
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Fax | 813-246-9064
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Provider Business Mailing Address
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Address Line | 710 OAKFIELD DR SUITE 210
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City | BRANDON
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State | FL
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Zip | 33511-4938
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Country | US
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Telephone | 813-523-6573
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Fax | 813-246-9064
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Authorized Official
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Title or Position | PROPRIETOR
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Name | MISS MERRY CHRISTMAS SCHOCH
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Credential | LCSW
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Telephone | 813-523-6573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12568
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License Number State | FL
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