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General NPI Number Information
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NPI Number | 1730549452
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Entity Type | Organization
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Legal Business Name | SUNSHINE CENTER, INC.
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 1726 21ST ST
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City | GALVESTON
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State | TX
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Zip | 77550-8014
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Country | US
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Telephone | 409-763-5029
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Fax | 409-763-5324
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Provider Business Mailing Address
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Address Line | 1726 21ST ST
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City | GALVESTON
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State | TX
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Zip | 77550-8014
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Country | US
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Telephone | 409-763-5029
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Fax | 409-763-5324
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS STEPHANIE CARMONA
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Credential |
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Telephone | 409-763-5029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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