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General NPI Number Information
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NPI Number | 1073186912
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Entity Type | Organization
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Legal Business Name | SUNRISE CARE & CONSULTING, LLC
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 1600 W EAU GALLIE BLVD STE 205P
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City | MELBOURNE
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State | FL
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Zip | 32935-4149
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Country | US
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Telephone | 321-917-5807
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Fax | 321-574-4116
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Provider Business Mailing Address
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Address Line | 1600 W EAU GALLIE BLVD STE 205P
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City | MELBOURNE
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State | FL
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Zip | 32935-4149
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Country | US
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Telephone | 321-917-5807
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Fax | 321-574-4116
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Authorized Official
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Title or Position | CASE MANAGER/CARE COORDINATOR
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Name | JADETH ADREANA YEPEZ
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Credential | MPA, CBHCM
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Telephone | 321-917-5807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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