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General NPI Number Information
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NPI Number | 1366367013
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Entity Type | Organization
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Legal Business Name | SECOND SUNRISE RECOVERY, LLC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 2490 SCARLET RD
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City | GILROY
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State | CA
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Zip | 95020-9138
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Country | US
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Telephone | 408-337-2187
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Fax |
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Provider Business Mailing Address
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Address Line | 1560 KOOSER RD
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City | SAN JOSE
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State | CA
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Zip | 95118-3335
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Country | US
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Telephone | 408-337-2187
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | TERESA LINDERMA LIBERA
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Credential |
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Telephone | 408-337-2187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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