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General NPI Number Information
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NPI Number | 1578889408
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Entity Type | Organization
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Legal Business Name | SUNSHINE INTEGRATIVE HEALTH, INC.
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 6420 W NEWBERRY RD RM #180
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City | GAINESVILLE
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State | FL
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Zip | 32605-4308
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Country | US
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Telephone | 352-665-1090
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Fax | 866-312-1218
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Provider Business Mailing Address
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Address Line | 6420 W NEWBERRY RD RM #180
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City | GAINESVILLE
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State | FL
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Zip | 32605-4308
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Country | US
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Telephone | 352-665-1090
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Fax | 866-312-1218
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH J WILLIAMS
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Credential | A.P., D.O.M
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Telephone | 352-665-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP 2692
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License Number State | FL
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