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General NPI Number Information
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NPI Number | 1134491129
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Entity Type | Organization
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Legal Business Name | SUNRISE MEDICATIONS INC
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 2 PALMETTO WOOD PKWY STE 102
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City | IRMO
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State | SC
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Zip | 29063-2881
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Country | US
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Telephone | 800-672-6334
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Fax | 803-957-2541
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Provider Business Mailing Address
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Address Line | PO BOX 1928
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City | LEXINGTON
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State | SC
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Zip | 29071-1928
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Country | US
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Telephone | 803-957-0500
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Fax | 888-342-6190
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. CHRISTINA M JEFFCOAT
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Credential |
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Telephone | 803-957-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 15201
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License Number State | SC
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