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General NPI Number Information
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NPI Number | 1043709587
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Entity Type | Organization
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Legal Business Name | SUNRISE CBAS, INC.
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 14360 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90605-2103
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Country | US
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Telephone | 415-290-3986
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Fax |
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Provider Business Mailing Address
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Address Line | 4275 MARIETTA CT
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City | CONCORD
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State | CA
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Zip | 94518-1831
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Country | US
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Telephone | 415-290-3986
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING DIRECTOR
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Name | HAKOB KARAPETYAN
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Credential |
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Telephone | 415-290-3986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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