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General NPI Number Information
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NPI Number | 1225723653
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Entity Type | Organization
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Legal Business Name | SUNSTONE LIFE INC
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 8420 COTTONWOOD DR APT H
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City | CINCINNATI
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State | OH
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Zip | 45231-5947
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Country | US
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Telephone | 513-991-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 NIMITZVIEW DR STE 400
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City | CINCINNATI
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State | OH
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Zip | 45230-4332
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Country | US
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Telephone | 513-407-2009
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RAYMOND LLOYD COMPAGNA JR.
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Credential |
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Telephone | 513-407-2009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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