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General NPI Number Information
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NPI Number | 1841310539
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Entity Type | Organization
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Legal Business Name | SUNNY HILL, INC.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 11140 S TOWNE SQ SUITE 101
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7830
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Country | US
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Telephone | 314-845-3900
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Fax | 314-845-3901
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Provider Business Mailing Address
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Address Line | 11140 S TOWNE SQ SUITE 101
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City | SAINT LOUIS
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State | MO
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Zip | 63123-7830
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Country | US
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Telephone | 314-845-3900
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Fax | 314-845-3901
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | VICTORIA K JAMES
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Credential |
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Telephone | 314-845-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 12483150
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License Number State | MO
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