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General NPI Number Information
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NPI Number | 1891007118
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Entity Type | Organization
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Legal Business Name | SUNRISE-AMANECER, INC.
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 19 MILFORD ST
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1332
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Country | US
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Telephone | 413-781-3727
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Fax | 413-734-8192
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Provider Business Mailing Address
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Address Line | 19 MILFORD ST
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City | SPRINGFIELD
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State | MA
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Zip | 01107-1332
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Country | US
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Telephone | 413-781-3727
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Fax | 413-734-8192
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Authorized Official
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Title or Position | PSYCHOLOGIST / PRESIDENT, CEO
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Name | DR. VERONICA M NAVARRETE
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Credential | PH.D.
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Telephone | 413-781-3727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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