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General NPI Number Information
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NPI Number | 1336688449
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Entity Type | Organization
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Legal Business Name | SUNRISE SERVICES, INC.
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 44942 STATE ROUTE 20
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City | CONCRETE
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State | WA
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Zip | 98237
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Country | US
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Telephone | 425-211-4211
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Fax | 425-347-0492
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Provider Business Mailing Address
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Address Line | PO BOX 2569
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City | EVERETT
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State | WA
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Zip | 98213-0569
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Country | US
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Telephone | 425-212-4211
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Fax | 425-347-0492
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SUE A. CLOSSER
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Credential |
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Telephone | 425-212-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | WA
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