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General NPI Number Information
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NPI Number | 1528784568
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Entity Type | Organization
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Legal Business Name | SUNRISE HUMAN CARE SERVICES INC
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 2050 W CHESTER PIKE FL 1
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City | HAVERTOWN
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State | PA
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Zip | 19083-2744
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Country | US
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Telephone | 215-997-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 W CHESTER PIKE FL 1
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City | HAVERTOWN
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State | PA
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Zip | 19083-2744
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Country | US
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Telephone | 215-997-2000
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | HEATHER DOMBROWSKI
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Credential |
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Telephone | 267-878-0240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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