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General NPI Number Information
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NPI Number | 1538826482
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Entity Type | Organization
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Legal Business Name | SUNRISE COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 11/25/2021
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 1445 ROUTE 130 STE 5
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-3100
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Country | US
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Telephone | 856-446-4939
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 ROUTE 130 STE 5
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-3100
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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 | DIRECTOR
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Name | AJAY PATEL
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Credential |
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Telephone | 732-331-6544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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