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General NPI Number Information
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NPI Number | 1538816780
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Entity Type | Organization
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Legal Business Name | SUNSHINE COUNSELING SERVICES LCSW, PLLC
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 48 DIETZ ST STE B
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City | ONEONTA
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State | NY
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Zip | 13820-1827
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Country | US
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Telephone | 607-287-4670
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Fax |
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Provider Business Mailing Address
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Address Line | 48 DIETZ ST STE B
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City | ONEONTA
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State | NY
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Zip | 13820-1827
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Country | US
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Telephone | 607-287-4670
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MRS. TONYA A DEMULDER
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Credential | LCSW-R
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Telephone | 607-287-4670
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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 |
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License Number State |
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