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General NPI Number Information
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NPI Number | 1013742311
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Entity Type | Individual
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Provider Name | ASHLEY SUTTON
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Gender | Female
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 4805 COLUMBIA PIKE
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-5207
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Country | US
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Telephone | 615-791-0974
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Fax |
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Provider Business Mailing Address
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Address Line | 811 VALLEY GLEN
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City | SPRING HILL
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State | TN
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Zip | 37174
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Country | US
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Telephone | 801-232-1182
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 48443
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License Number State | TN
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