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General NPI Number Information
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NPI Number | 1386322501
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Entity Type | Organization
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Legal Business Name | SUNCLOUD HEALTH
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 501 N FREDERICK AVE STE 308
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City | GAITHERSBURG
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State | MD
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Zip | 20877-2507
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Country | US
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Telephone | 224-326-0226
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Fax |
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Provider Business Mailing Address
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Address Line | 40 SKOKIE BLVD STE 200
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City | NORTHBROOK
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State | IL
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Zip | 60062-1615
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Country | US
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Telephone | 224-326-0226
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Fax | 847-919-6871
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Authorized Official
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Title or Position | OPERATIONS
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Name | DAVID NEWTON
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Credential |
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Telephone | 224-326-0226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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