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General NPI Number Information
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NPI Number | 1427375351
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Entity Type | Organization
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Legal Business Name | SUNRISE HOSPICE, INC
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 513 WATERS EDGE WAY
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City | MURPHY
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State | TX
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Zip | 75094-4382
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Country | US
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Telephone | 409-299-7678
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Fax |
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Provider Business Mailing Address
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Address Line | 275 E VISTA RIDGE MALL DR APT 5921
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City | LEWISVILLE
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State | TX
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Zip | 75067-4016
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEMETRA BURKHALTER
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Credential |
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Telephone | 409-299-7678
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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 |
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License Number State |
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