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General NPI Number Information
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NPI Number | 1770904278
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Entity Type | Organization
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Legal Business Name | SUNSHINE REHAB LLC
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 08/14/2016
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Provider Practice Location Address
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Address Line | 5441 BALTIMORE NATIONAL PIKE SUITE# 16
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City | BALTIMORE
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State | MD
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Zip | 21229-2102
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Country | US
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Telephone | 410-941-2919
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Fax | 410-630-5561
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Provider Business Mailing Address
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Address Line | 317 N BEND RD
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City | BALTIMORE
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State | MD
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Zip | 21229-3113
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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 | PHYSICAL THERAPIST
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Name | SHAHIDA SULEMAN
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Credential | PT
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Telephone | 410-409-8559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 18993
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License Number State | MD
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