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General NPI Number Information
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NPI Number | 1528579703
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Entity Type | Organization
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Legal Business Name | SUNSHINE THERAPISTS LLC
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7320 ANDORRA PL
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City | BOCA RATON
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State | FL
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Zip | 33433-4952
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Country | US
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Telephone | 201-410-3873
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Fax |
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Provider Business Mailing Address
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Address Line | 7320 ANDORRA PL
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City | BOCA RATON
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State | FL
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Zip | 33433-4952
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Country | US
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Telephone | 201-410-3873
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHIRA STOKAR
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Credential | MS,CCC-SLP
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Telephone | 201-410-3873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA14991
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License Number State | FL
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