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General NPI Number Information
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NPI Number | 1295442473
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Entity Type | Organization
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Legal Business Name | SUNRISE MEDICAL TRANS LLC
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 2121 EISENHOWER AVE STE 300
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4688
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Country | US
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Telephone | 833-833-2296
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Fax | 703-559-8845
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Provider Business Mailing Address
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Address Line | 2800 EISENHOWER AVE STE 220
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4587
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Country | US
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Telephone | 703-927-0132
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | LUCY EVANS
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Credential |
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Telephone | 833-833-2296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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