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General NPI Number Information
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NPI Number | 1871866814
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Entity Type | Organization
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Legal Business Name | SUNRISE HEALTH CLINIC
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 4615 NORTH FWY 122
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City | HOUSTON
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State | TX
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Zip | 77022-2917
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Country | US
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Telephone | 713-695-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 4615 NORTH FWY 122
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City | HOUSTON
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State | TX
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Zip | 77022-2917
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Country | US
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Telephone | 713-695-0500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORMA RIVERA-OPIO
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Credential | M.D.
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Telephone | 71369505000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L2602
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License Number State | TX
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