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General NPI Number Information
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NPI Number | 1649988965
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Entity Type | Organization
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Legal Business Name | MAJESTIC SUNSHINE CARE
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 20200 NE 3RD CT APT 1
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City | MIAMI
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State | FL
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Zip | 33179-5210
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Country | US
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Telephone | 954-998-0880
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Fax | 954-416-6818
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Provider Business Mailing Address
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Address Line | 20200 NE 3RD CT APT 1
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City | MIAMI
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State | FL
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Zip | 33179-5210
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Country | US
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Telephone | 954-998-0880
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Fax | 954-416-6818
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Authorized Official
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Title or Position | DIRECTOR
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Name | FELECIA WOOLCOCK
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Credential |
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Telephone | 954-998-0880
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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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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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