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General NPI Number Information
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NPI Number | 1639803638
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Entity Type | Organization
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Legal Business Name | SUNSHINE CARE CENTERS
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 1900 BALLPARK WAY STE 108
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City | ARLINGTON
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State | TX
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Zip | 76006-6627
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Country | US
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Telephone | 561-895-9037
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Fax | 833-681-8901
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Provider Business Mailing Address
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Address Line | 1900 BALLPARK WAY STE 108
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City | ARLINGTON
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State | TX
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Zip | 76006-6627
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Country | US
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Telephone | 561-895-9037
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Fax | 833-681-8901
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | PAIGE MIRANDA
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Credential |
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Telephone | 940-736-5674
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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