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General NPI Number Information
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NPI Number | 1770477879
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Entity Type | Organization
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Legal Business Name | SUNSHINE CARE, INC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1 W LAKE ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-3154
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Country | US
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Telephone | 507-202-0339
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Fax |
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Provider Business Mailing Address
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Address Line | 1 W LAKE ST
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-3154
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Country | US
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Telephone | 507-202-0339
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAHAL MOHAMUD
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Credential |
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Telephone | 507-202-0339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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