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General NPI Number Information
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NPI Number | 1750947750
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Entity Type | Organization
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Legal Business Name | THE SUNSHINE HOME
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 2336 DEMI DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1394
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Country | US
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Telephone | 216-287-2113
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Fax | 330-998-6818
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Provider Business Mailing Address
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Address Line | 2336 DEMI DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1394
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Country | US
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Telephone | 216-287-2113
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Fax | 330-998-6818
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Authorized Official
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Title or Position | CEO
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Name | ERICA DICKENSON-TOMLINSON
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Credential |
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Telephone | 216-287-2113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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