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General NPI Number Information
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NPI Number | 1073133567
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Entity Type | Organization
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Legal Business Name | SUNRISE ADULT DAY CARE
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Dates
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Enumeration Date | 04/24/2020
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 3930 LEON AVE # 130
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City | LAS VEGAS
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State | NV
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Zip | 89130-2814
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Country | US
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Telephone | 702-466-1900
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Fax | 702-916-4844
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Provider Business Mailing Address
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Address Line | 3930 LEON AVE # 130
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City | LAS VEGAS
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State | NV
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Zip | 89130-2814
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Country | US
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Telephone | 702-466-1900
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Fax | 702-916-4844
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EUNHEE KIM
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Credential |
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Telephone | 702-468-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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