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General NPI Number Information
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NPI Number | 1679391619
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Entity Type | Organization
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Legal Business Name | SUNRISE COMMUNITY INC.
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 10304 SEDGEBROOK DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-8704
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Country | US
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Telephone | 305-273-3047
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Fax |
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Provider Business Mailing Address
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Address Line | 9040 SUNSET DR
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City | MIAMI
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State | FL
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Zip | 33173-3432
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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 OF REVENUE CYCLE
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Name | ANA GARCIA
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Credential |
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Telephone | 305-273-3047
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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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