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General NPI Number Information
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NPI Number | 1639183072
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Entity Type | Organization
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Legal Business Name | SUNSHINE MOBILE IMAGING INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15882 SW 24TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4267
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Country | US
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Telephone | 954-436-5702
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Fax | 954-436-5703
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Provider Business Mailing Address
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Address Line | 15882 SW 24TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4267
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Country | US
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Telephone | 954-436-5702
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Fax | 954-436-5703
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Authorized Official
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Title or Position | PRESIDENT
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Name | RIQUEL GONZALEZ
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Credential |
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Telephone | 954-436-5702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | PENDING
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License Number State | FL
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