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General NPI Number Information
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NPI Number | 1366400376
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Entity Type | Organization
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Legal Business Name | SUNRISE HOME HEALTH CARE INC.
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 2331 SW 82ND PL
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City | MIAMI
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State | FL
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Zip | 33155-1252
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Country | US
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Telephone | 305-264-5558
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Fax | 305-264-1197
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Provider Business Mailing Address
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Address Line | 2331 SW 82ND PL
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City | MIAMI
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State | FL
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Zip | 33155-1252
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Country | US
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Telephone | 305-264-5558
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Fax | 305-264-1197
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. ELIEZER GOMEZ
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Credential |
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Telephone | 305-264-5558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA211400961
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License Number State | FL
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