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General NPI Number Information
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NPI Number | 1427388610
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Entity Type | Organization
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Legal Business Name | SUNRISE THERAPY
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 850 TOWBIN AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5928
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Country | US
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Telephone | 732-886-6202
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Fax | 732-538-4470
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Provider Business Mailing Address
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Address Line | 850 TOWBIN AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5928
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Country | US
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Telephone | 732-886-6202
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Fax | 732-538-4470
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Authorized Official
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Title or Position | MEMBER
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Name | MR. ELIEZER FRIEDMAN
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Credential |
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Telephone | 732-600-0616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | PA
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