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General NPI Number Information
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NPI Number | 1952800328
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Entity Type | Organization
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Legal Business Name | AH SUNSHINEENTERPRISES INC
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 02/12/2018
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Provider Practice Location Address
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Address Line | 6735 CONROY RD STE 326
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City | ORLANDO
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State | FL
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Zip | 32835-3568
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Country | US
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Telephone | 407-614-6255
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Fax |
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Provider Business Mailing Address
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Address Line | 6735 CONROY RD STE 326
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City | ORLANDO
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State | FL
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Zip | 32835-3568
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Country | US
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Telephone | 407-614-6255
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGEMENT
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Name | MRS. LISETT GONZALEZ
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Credential |
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Telephone | 407-614-6255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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