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General NPI Number Information
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NPI Number | 1497417406
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Entity Type | Organization
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Legal Business Name | SUNRISE BODYCARE, LLC
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 1869 LAKE PINE DR
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City | CARY
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State | NC
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Zip | 27511-6043
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Country | US
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Telephone | 919-234-1208
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Fax |
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Provider Business Mailing Address
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Address Line | 1869 LAKE PINE DR
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City | CARY
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State | NC
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Zip | 27511-6043
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Country | US
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Telephone | 919-234-1208
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HAN WANG
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Credential | MA
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Telephone | 919-234-1208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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