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General NPI Number Information
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NPI Number | 1700327244
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Entity Type | Organization
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Legal Business Name | SUNSHINE HOME CARE
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 2225 EVERGREEN DR
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City | DUBUQUE
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State | IA
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Zip | 52001-8448
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Country | US
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Telephone | 563-581-5961
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | DUBUQUE
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State | IA
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Zip | 52004-0535
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Country | US
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Telephone | 563-581-5961
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. PENNY ANN NARD
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Credential |
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Telephone | 563-845-6957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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