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General NPI Number Information
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NPI Number | 1598418154
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Entity Type | Organization
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Legal Business Name | BRIGHT SUNRISE HOME HEALTH, INC.
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 4711 OAKWOOD AVE STE 202C
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City | LOS ANGELES
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State | CA
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Zip | 90004-2471
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Country | US
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Telephone | 310-507-1019
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Fax | 310-507-1019
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Provider Business Mailing Address
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Address Line | 4711 OAKWOOD AVE STE 202C
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City | LOS ANGELES
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State | CA
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Zip | 90004-2471
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Country | US
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Telephone | 310-507-1019
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Fax | 310-507-1019
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Authorized Official
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Title or Position | CEO
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Name | MR. KAREN HOVANISYAN
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Credential |
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Telephone | 310-507-1019
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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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