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General NPI Number Information
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NPI Number | 1871748046
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Entity Type | Organization
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Legal Business Name | SUNSHINE IN HOME CARE SERVICES
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 5563 RIDGEVIEW DR
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City | LA VERNE
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State | CA
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Zip | 91750-1717
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Country | US
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Telephone | 909-720-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 5563 RIDGEVIEW DR
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City | LA VERNE
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State | CA
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Zip | 91750-1717
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Country | US
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Telephone | 909-720-5383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MYRIAM A GUTIERREZ
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Credential |
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Telephone | 909-720-5383
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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 | 00005864
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License Number State | CA
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