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NPI 1720458714

NPI 1720458714 : SUNSHINE HEALTH CARE SERVICES, LLC : SARASOTA, FL

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General NPI Number Information
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    NPI Number           |    1720458714
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNSHINE HEALTH CARE SERVICES, LLC 
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Dates
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    Enumeration Date     |    10/02/2015
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    Last Update Date     |    10/02/2015
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Provider Practice Location Address
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    Address Line         |    2831 RINGLING BLVD SUITE F124
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34237-5334
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    Country              |    US
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    Telephone            |    941-906-1881
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    Fax                  |    941-906-1190
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Provider Business Mailing Address
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    Address Line         |    2831 RINGLING BLVD SUITE F124
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34237-5334
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    Country              |    US
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    Telephone            |    941-906-1881
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    Fax                  |    941-906-1190
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BARBARA  COGSWELL 
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    Credential           |    
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    Telephone            |    941-906-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    231684
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    231684
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    231684
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    231684
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    License Number State |    FL
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Taxonomy #5
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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    License Number       |    231684
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    License Number State |    FL
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Taxonomy #6
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    231684
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    License Number State |    FL
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Taxonomy #7
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    231684
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    License Number State |    FL
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Taxonomy #8
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    231684
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    License Number State |    FL
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