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General NPI Number Information
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NPI Number | 1922301894
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Entity Type | Organization
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Legal Business Name | SUNSET MEDICAL NETWORK INC
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 10300 SW 72ND ST STE. 350
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-603-9204
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Fax | 305-603-9206
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Provider Business Mailing Address
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Address Line | 10300 SW 72ND ST STE. 350
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City | MIAMI
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State | FL
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Zip | 33173-3012
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Country | US
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Telephone | 305-603-9204
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Fax | 305-603-9206
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA C BORRAJO
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Credential |
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Telephone | 305-603-9204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | HCC8928
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | HCC8928
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License Number State | FL
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