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General NPI Number Information
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NPI Number | 1659659639
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Entity Type | Organization
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Legal Business Name | MIGGY'S HOUSE OF SUNSHINE
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 2530 TURTLE CREEK DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3304
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Country | US
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Telephone | 832-519-4430
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 374
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City | MISSOURI CITY
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State | TX
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Zip | 77459-0374
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA BOOKER
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Credential |
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Telephone | 832-519-4430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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