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General NPI Number Information
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NPI Number | 1649542069
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Entity Type | Organization
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Legal Business Name | SUNRISE HOME HEALTH AGENCY
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Dates
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Enumeration Date | 01/31/2012
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Last Update Date | 01/31/2012
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Provider Practice Location Address
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Address Line | 225 FAIRWAY BLVD STE 203
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City | WHITEHALL
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State | OH
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Zip | 43213-2071
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Country | US
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Telephone | 614-657-2387
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Fax | 614-635-6370
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Provider Business Mailing Address
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Address Line | 225 FAIRWAY BLVD STE 203
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City | WHITEHALL
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State | OH
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Zip | 43213-2071
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Country | US
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Telephone | 614-657-2387
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Fax | 614-635-6370
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. ASTEWALECH WASSIHUN
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Credential |
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Telephone | 614-657-2387
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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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