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General NPI Number Information
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NPI Number | 1679375679
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Entity Type | Individual
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Provider Name | SUNSHINE ALINA UNTERWAGNER RN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 249 CENTRAL PARK AVE STE 300-55
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-3099
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Country | US
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Telephone | 877-267-4253
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Fax | 877-395-9003
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Provider Business Mailing Address
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Address Line | 21 SALT MARSH CT
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City | BRUNSWICK
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State | GA
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Zip | 31523-7173
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Country | US
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Telephone | 540-871-6234
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN244909
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License Number State | GA
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