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General NPI Number Information
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NPI Number | 1083028237
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Entity Type | Individual
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Provider Name | CHRISSY ANN SUMPTER PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 2550 RIVER PARK PLZ SUITE 110
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City | FORT WORTH
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State | TX
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Zip | 76116-0920
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Country | US
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Telephone | 817-731-1289
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Fax | 817-731-1291
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Provider Business Mailing Address
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Address Line | 4629 BENHAM DR
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City | CROWLEY
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State | TX
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Zip | 76036-4217
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Country | US
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Telephone | 682-438-2000
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Fax | 626-313-4851
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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