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General NPI Number Information
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NPI Number | 1417939034
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Entity Type | Organization
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Legal Business Name | SUNRISE HOSPICE CARE CORPORATION
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 5120 E LA PALMA AVE SUITE 202
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City | ANAHEIM
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State | CA
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Zip | 92807-2082
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Country | US
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Telephone | 714-970-0081
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Fax | 714-970-0082
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Provider Business Mailing Address
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Address Line | 5120 E LA PALMA AVE SUITE 202
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City | ANAHEIM
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State | CA
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Zip | 92807-2082
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Country | US
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Telephone | 714-970-0081
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Fax | 714-970-0082
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Authorized Official
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Title or Position | ADMINISTRATOR/DPCS
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Name | MR. ANGELIT F. GURAY
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Credential |
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Telephone | 714-970-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 0000788
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License Number State | CA
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