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General NPI Number Information
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NPI Number | 1992214290
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Entity Type | Organization
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Legal Business Name | SUNSHINE HOMECARE SUPPORT SERVICES CORP.
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2539 S HOLLAND CT
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City | LAKEWOOD
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State | CO
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Zip | 80227-2939
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Country | US
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Telephone | 303-989-2566
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Fax | 720-292-1883
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Provider Business Mailing Address
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Address Line | 2539 S HOLLAND CT
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City | LAKEWOOD
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State | CO
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Zip | 80227-2939
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Country | US
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Telephone | 303-989-2566
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Fax | 720-292-1883
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Authorized Official
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Title or Position | MANAGER
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Name | MR. TOM NGUYEN
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Credential |
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Telephone | 303-726-2814
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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 | 04V346
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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