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General NPI Number Information
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NPI Number | 1033039896
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Entity Type | Organization
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Legal Business Name | SUNRISE SPEECH AND LANGUAGE, LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 31656 HIGHWAY 200 STE 209
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City | PONDERAY
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State | ID
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Zip | 83852-9500
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Country | US
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Telephone | 208-219-7695
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Fax | 855-644-3198
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Provider Business Mailing Address
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Address Line | 388 JIM RD
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City | SANDPOINT
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State | ID
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Zip | 83864-7593
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Country | US
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Telephone | 208-219-7695
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | HOPE KEENAN
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Credential | M.A. SLP
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Telephone | 208-219-7695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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