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General NPI Number Information
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NPI Number | 1851664981
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Entity Type | Organization
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Legal Business Name | SUNRISE SPRINGFIELD ASSISTED LIVING LLC
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 6541 FRANCONIA RD
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1801
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Country | US
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Telephone | 703-922-6800
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Fax | 703-922-4898
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Provider Business Mailing Address
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Address Line | 6541 FRANCONIA RD
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City | SPRINGFIELD
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State | VA
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Zip | 22150-1409
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Country | US
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Telephone | 703-922-6800
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Fax | 703-922-4898
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBINETTE TODD
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Credential |
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Telephone | 703-922-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | ALF 1080630-L155
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License Number State | VA
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