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General NPI Number Information
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NPI Number | 1952067175
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Entity Type | Organization
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Legal Business Name | SUNSHINE CLINIC
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 3600 HIGHWAY 78 E STE 108
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City | JASPER
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State | AL
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Zip | 35501-8968
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Country | US
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Telephone | 205-265-3076
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1314
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City | JASPER
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State | AL
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Zip | 35502-1314
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTIN FREEMAN
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Credential |
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Telephone | 205-265-3076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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