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General NPI Number Information
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NPI Number | 1649693318
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Entity Type | Organization
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Legal Business Name | SUNSHINE CARE
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Dates
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Enumeration Date | 01/30/2014
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 10821 FALLOW TRL
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City | ORLANDO
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State | FL
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Zip | 32817-2081
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Country | US
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Telephone | 407-860-5475
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Fax | 407-672-0866
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Provider Business Mailing Address
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Address Line | 5324 P.O BOX
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City | WINTER PARK
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State | FL
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Zip | 32793-5324
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Country | US
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Telephone | 407-860-5475
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Fax | 407-672-0866
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Authorized Official
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Title or Position | MEDWAVIER PROVIDER
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Name | MS. DIANNE ZAMUDIO
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Credential |
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Telephone | 407-860-5475
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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 |
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License Number State |
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