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General NPI Number Information
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NPI Number | 1255571774
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Entity Type | Organization
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Legal Business Name | SUNRISE HEALTHCARE INC
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 721 OAK COMMONS BLVD SUITE A
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City | KISSIMMEE
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State | FL
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Zip | 34741-4186
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Country | US
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Telephone | 888-504-7097
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Fax | 888-771-3118
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Provider Business Mailing Address
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Address Line | 2151 LANGLEY CIRCLE
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City | ORLANDO
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State | FL
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Zip | 32835-5943
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Country | US
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Telephone | 888-504-7097
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Fax | 888-771-3118
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYED A. JAFRI
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Credential | MD
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Telephone | 407-496-2051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME79297
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License Number State | FL
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