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General NPI Number Information
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NPI Number | 1740103266
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Entity Type | Organization
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Legal Business Name | SUNSHINE SPEECH THERAPY PLLC
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Dates
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Enumeration Date | 08/01/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 3320 W FOSTER AVE PO BOX 204
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City | CHICAGO
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State | IL
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Zip | 60625-4813
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Country | US
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Telephone | 773-463-0865
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 W FOSTER AVE PO BOX 204
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City | CHICAGO
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State | IL
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Zip | 60625-4813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | ROSSY JIMENEZ
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Credential | CCC-SLP
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Telephone | 773-712-0386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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