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General NPI Number Information
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NPI Number | 1619174182
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Entity Type | Organization
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Legal Business Name | SUNRISE IN-HOME CARE
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29 W HENDERSON ST SUITE 204
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City | MARION
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State | NC
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Zip | 28752-4505
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Country | US
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Telephone | 828-659-6393
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Fax | 828-659-3437
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Provider Business Mailing Address
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Address Line | 29 W HENDERSON ST SUITE 204
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City | MARION
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State | NC
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Zip | 28752-4505
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Country | US
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Telephone | 828-659-6393
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Fax | 828-659-3437
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Authorized Official
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Title or Position | RN-OWNER
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Name | JACQUELYN BRADFORD
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Credential |
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Telephone | 828-659-6393
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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 | HC2204
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License Number State | NC
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