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General NPI Number Information
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NPI Number | 1447954961
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Entity Type | Organization
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Legal Business Name | SUNRISE HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 8930 ELLENWOOD LN
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City | FAIRFAX
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State | VA
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Zip | 22032-1454
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Country | US
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Telephone | 571-594-0307
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Fax |
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Provider Business Mailing Address
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Address Line | 8930 ELLENWOOD LN
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City | FAIRFAX
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State | VA
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Zip | 22032-1454
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Country | US
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Telephone | 571-594-0307
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIRWAIS MUGHAL KHAN
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Credential | MD
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Telephone | 571-594-0307
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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 |
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License Number State |
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