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General NPI Number Information
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NPI Number | 1144101411
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Entity Type | Organization
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Legal Business Name | SUNRISE ADULT DAYCARE CENTER INC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 570 1ST ST SE STE 103
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City | SAINT CLOUD
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State | MN
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Zip | 56304-0800
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Country | US
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Telephone | 763-656-9334
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Fax | 320-217-2107
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Provider Business Mailing Address
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Address Line | 570 1ST ST SE STE 103
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City | SAINT CLOUD
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State | MN
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Zip | 56304-0800
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Country | US
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Telephone | 763-656-9334
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Fax | 320-217-2107
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Authorized Official
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Title or Position | OWNER
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Name | KAHIYE HUSSEIN ABDI
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Credential |
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Telephone | 763-656-9334
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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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