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General NPI Number Information
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NPI Number | 1992569701
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Entity Type | Organization
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Legal Business Name | SUNSHINE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3780 S WEST TEMPLE STE 200
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115-4515
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Country | US
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Telephone | 801-970-4205
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Fax | 385-202-3097
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Provider Business Mailing Address
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Address Line | 3780 S WEST TEMPLE STE 200
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115-4515
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Country | US
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Telephone | 801-970-4205
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Fax | 385-202-3097
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHYENNE MUHLESTEIN
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Credential |
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Telephone | 801-970-4205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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