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General NPI Number Information
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NPI Number | 1790044717
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Entity Type | Organization
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Legal Business Name | SUNRISE MEDICAL CONSULTING, LLC
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 13111 EAST FWY STE 317
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City | HOUSTON
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State | TX
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Zip | 77015-5819
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Country | US
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Telephone | 832-242-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 4907 CANTERBURY LN
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City | SUGAR LAND
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State | TX
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Zip | 77479-3925
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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 | MD
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Name | DR. DONGXIN LIU
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Credential |
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Telephone | 713-480-0733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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