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General NPI Number Information
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NPI Number | 1689477796
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Entity Type | Organization
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Legal Business Name | SUNRISE CLINICS
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 28 PANTHER PARKWAY N HIGHWAY 63
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City | PECOS
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State | NM
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Zip | 87552
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Country | US
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Telephone | 505-622-3100
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Fax | 877-553-1272
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Provider Business Mailing Address
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Address Line | 117 CAMINO DE VIDA STE 300
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City | SANTA ROSA
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State | NM
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Zip | 88435-2267
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Country | US
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Telephone | 575-472-4311
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Fax | 877-553-1272
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | JESSICA SANCHEZ
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Credential | CREDENTIALING
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Telephone | 575-472-4311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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