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General NPI Number Information
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NPI Number | 1598037079
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Entity Type | Organization
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Legal Business Name | RAYS OF SONSHINE
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 01/31/2012
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Provider Practice Location Address
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Address Line | 200 BREARD ST
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City | MONROE
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State | LA
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Zip | 71201-6704
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Country | US
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Telephone | 318-323-0502
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Fax | 318-387-0700
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Provider Business Mailing Address
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Address Line | PO BOX 7299
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City | MONROE
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State | LA
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Zip | 71211-7299
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Country | US
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Telephone | 318-323-0502
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Fax | 318-387-0700
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. LYNN DANIEL
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Credential | RAC CCS
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Telephone | 318-323-0502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 421
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License Number State | LA
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