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General NPI Number Information
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NPI Number | 1790242675
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Entity Type | Organization
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Legal Business Name | SUNRISE TREATMENT CENTER, LLC
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 25 WHITNEY DR
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City | MILFORD
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State | OH
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Zip | 45150-8402
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Country | US
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Telephone | 513-941-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 6460 HARRISON AVE. SUITE 200
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City | CINCINNATI
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State | OH
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Zip | 45247-7957
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Country | US
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Telephone | 513-467-2825
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | RANDY SCOTT SPAULDING
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Credential |
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Telephone | 513-941-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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