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General NPI Number Information
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NPI Number | 1225421498
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Entity Type | Organization
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Legal Business Name | SUNRISE MEDICAL SOLUTIONS, INC.
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 1075 COOPER RD SUITE 100
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City | GRAYSON
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State | GA
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Zip | 30017-4268
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Country | US
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Telephone | 770-676-7337
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Fax | 877-626-9392
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Provider Business Mailing Address
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Address Line | 1075 COOPER RD SUITE 100
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City | GRAYSON
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State | GA
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Zip | 30017-4268
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Country | US
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Telephone | 770-676-7337
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Fax | 877-626-9392
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MRS. KIMBERLY SHERIDAN
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Credential |
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Telephone | 770-676-7337
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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 | GA
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