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General NPI Number Information
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NPI Number | 1639423064
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Entity Type | Organization
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Legal Business Name | SUNNY DAY HOME HEALTH
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 11/07/2012
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Provider Practice Location Address
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Address Line | 1712 SAGEBRUSH RANCH WAY
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City | N LAS VEGAS
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State | NV
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Zip | 89081-6718
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Country | US
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Telephone | 702-649-6791
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Fax |
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Provider Business Mailing Address
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Address Line | 1712 SAGEBRUSH RANCH WAY
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City | N LAS VEGAS
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State | NV
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Zip | 89081-6718
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Country | US
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Telephone | 702-649-6791
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Fax |
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Authorized Official
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Title or Position | CNA
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Name | MRS. LATOYA M FINLEY-SMITH
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Credential |
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Telephone | 702-649-6791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 530787923
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License Number State | NV
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