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General NPI Number Information
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NPI Number | 1790287688
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Entity Type | Organization
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Legal Business Name | SUNNY COMMUNITY HOME CARE, INC
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 1249M BLALOCK RD
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City | HOUSTON
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State | TX
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Zip | 77055-6424
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Country | US
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Telephone | 832-581-3461
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Fax | 832-831-5942
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Provider Business Mailing Address
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Address Line | 1249M BLALOCK RD
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City | HOUSTON
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State | TX
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Zip | 77055-6424
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Country | US
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Telephone | 832-581-3461
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Fax | 832-831-5942
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SEUNG HEE LEE
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Credential |
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Telephone | 832-633-2685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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