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General NPI Number Information
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NPI Number | 1023981735
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Entity Type | Individual
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Provider Name | ANGELA SUTTON
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2604 SUNNYSIDE DR
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City | CADILLAC
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State | MI
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Zip | 49601-8749
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Country | US
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Telephone | 906-263-0080
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Fax |
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Provider Business Mailing Address
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Address Line | 9720 E 22 RD
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City | MANTON
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State | MI
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Zip | 49663-9172
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Country | US
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Telephone | 231-944-5096
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6451024487
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License Number State | MI
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