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General NPI Number Information
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NPI Number | 1992219281
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Entity Type | Organization
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Legal Business Name | SUNSHINE HOME HEALTH SERVICES, L.L.C
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 11/13/2018
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Provider Practice Location Address
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Address Line | 545 GOFFLE RD STE 6
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City | WYCKOFF
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State | NJ
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Zip | 07481
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Country | US
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Telephone | 201-857-5839
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Fax |
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Provider Business Mailing Address
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Address Line | 545 GOFFLE RD STE 6
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City | WYCKOFF
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State | NJ
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Zip | 07481-2971
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Country | US
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Telephone | 201-857-5839
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCIS CLEMENT
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Credential |
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Telephone | 845-641-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0145200
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License Number State | NJ
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