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General NPI Number Information
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NPI Number | 1972484095
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Entity Type | Organization
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Legal Business Name | SUNSHINE PEDIATRIC DAY CENTER, SOUTH HOUSTON, LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 9895 BLACKHAWK BLVD
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City | HOUSTON
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State | TX
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Zip | 77075
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Country | US
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Telephone | 469-983-9974
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Fax |
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Provider Business Mailing Address
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Address Line | 13355 NOEL RD STE 1310
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City | DALLAS
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State | TX
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Zip | 75240-6623
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Country | US
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Telephone | 469-983-9974
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DAVID MAYMON
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Credential |
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Telephone | 954-881-8230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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