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General NPI Number Information
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NPI Number | 1851378947
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Entity Type | Organization
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Legal Business Name | SUNNY COAST THERAPEUTICS CORP
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 4872 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2102
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Country | US
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Telephone | 305-444-4006
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Fax | 305-444-4007
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Provider Business Mailing Address
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Address Line | 4872 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2102
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Country | US
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Telephone | 305-444-4006
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Fax | 305-444-4007
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZEIDA CARIDAD RODRIGUEZ
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Credential |
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Telephone | 305-444-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 684827
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License Number State | FL
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