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General NPI Number Information
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NPI Number | 1245930312
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Entity Type | Organization
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Legal Business Name | SUNSTONE COUNSELING LLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1480 WOODSTONE DR STE 110
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City | SAINT CHARLES
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State | MO
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Zip | 63304-6872
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Country | US
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Telephone | 636-328-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 13 FAIRWAY DR
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH MAURER
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Credential |
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Telephone | 636-328-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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