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General NPI Number Information
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NPI Number | 1689484776
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Entity Type | Organization
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Legal Business Name | SUNRISE HOLISTIC CARE INC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 17871 SANTIAGO BLVD STE 222
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City | VILLA PARK
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State | CA
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Zip | 92861-4126
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Country | US
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Telephone | 657-660-3156
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Fax | 657-600-0975
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Provider Business Mailing Address
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Address Line | 17871 SANTIAGO BLVD STE 222
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City | VILLA PARK
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State | CA
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Zip | 92861-4126
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Country | US
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Telephone | 310-488-2814
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | RAJESH SHARMA
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Credential | BCBA
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Telephone | 657-660-3156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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