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General NPI Number Information
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NPI Number | 1619220522
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Entity Type | Organization
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Legal Business Name | SUNNYBROOK HOME CARE, INC
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 306 SPRING ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-5137
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Country | US
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Telephone | 828-693-5417
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Fax | 828-693-5251
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Provider Business Mailing Address
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Address Line | 306 SPRING ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-5137
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Country | US
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Telephone | 828-693-5417
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Fax | 828-693-5251
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KAYLYN A INMAN
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Credential | RNC
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Telephone | 828-693-5417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC1494
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License Number State | NC
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