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General NPI Number Information
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NPI Number | 1891931812
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Entity Type | Organization
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Legal Business Name | SUNRISE HEALTHCARE
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 6666 HARWIN DR STE 430
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City | HOUSTON
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State | TX
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Zip | 77036-2291
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Country | US
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Telephone | 713-780-3520
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Fax | 713-780-7064
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Provider Business Mailing Address
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Address Line | 6666 HARWIN DR STE 430
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City | HOUSTON
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State | TX
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Zip | 77036-2291
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Country | US
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Telephone | 713-780-3520
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Fax | 713-780-7064
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Authorized Official
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Title or Position | OFFICE SUPERVISOR
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Name | MS. MARISA RODRIGUES
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Credential |
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Telephone | 713-780-3520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | F3272
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License Number State | TX
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