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General NPI Number Information
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NPI Number | 1831513803
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Entity Type | Organization
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Legal Business Name | SUNSHINE THERAPY & HEALTH CENTER, LLC
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 114 W NEW YORK AVE SUITE C
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City | DELAND
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State | FL
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Zip | 32720-5416
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Country | US
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Telephone | 386-451-6343
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Fax |
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Provider Business Mailing Address
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Address Line | 114 W NEW YORK AVE SUITE C
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City | DELAND
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State | FL
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Zip | 32720-5416
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Country | US
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Telephone | 386-451-6343
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SHANNON B HOWARD
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Credential | LMFT, CAP
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Telephone | 386-451-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MT 2619
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License Number State | FL
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