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General NPI Number Information
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NPI Number | 1114610045
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Entity Type | Organization
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Legal Business Name | SUNRISE RESPIRATORY CARE, INC.
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 27323 W HARDY RD STE 404
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City | SPRING
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State | TX
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Zip | 77373-2109
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Country | US
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Telephone | 949-398-6555
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Fax | 949-398-6557
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Provider Business Mailing Address
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Address Line | 1881 LANGLEY AVE
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City | IRVINE
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State | CA
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Zip | 92614-5623
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Country | US
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Telephone | 949-398-6555
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Fax | 949-398-6557
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | GRISELDA BALLON
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Credential |
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Telephone | 562-229-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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