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General NPI Number Information
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NPI Number | 1669080776
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Entity Type | Organization
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Legal Business Name | SUNSHINE MENTAL HEALTH & WELLNESS
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 2785 E DESERT INN RD STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89121-3624
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Country | US
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Telephone | 702-296-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 2785 E DESERT INN RD STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89121-3624
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Country | US
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Telephone | 702-296-4844
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOHANDY GARCIA-ORTEGA
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Credential |
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Telephone | 720-590-0971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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