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General NPI Number Information
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NPI Number | 1821513904
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Entity Type | Organization
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Legal Business Name | C & Z SUNSHINE HEALTHCARE,LLC
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 08/09/2017
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Provider Practice Location Address
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Address Line | 8233 DRYCREEK DR
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City | TAMPA
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State | FL
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Zip | 33615
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Country | US
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Telephone | 813-833-3025
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Fax |
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Provider Business Mailing Address
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Address Line | 8233 DRYCREEK DR
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City | TAMPA
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State | FL
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Zip | 33615-1207
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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 | ADMINISTRATOR
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Name | CARLOS GUTIERREZ
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Credential | ADMINISTRATOR
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Telephone | 813-833-3025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 13032
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License Number State | FL
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