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General NPI Number Information
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NPI Number | 1235882622
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Entity Type | Organization
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Legal Business Name | SUNRISE NURSING HOME OPERATIONS COMPANY LLC
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 4800 N NOB HILL RD
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City | SUNRISE
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State | FL
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Zip | 33351-4722
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Country | US
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Telephone | 954-577-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 270 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10016-0601
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL FEIST
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Credential |
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Telephone | 631-525-6693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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