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General NPI Number Information
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NPI Number | 1093397887
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Entity Type | Organization
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Legal Business Name | JOHN D. SUTTON, MD. PLLC
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 02/12/2022
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Provider Practice Location Address
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Address Line | 1810 KANSAS AVE
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City | WOODWARD
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State | OK
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Zip | 73801-2912
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Country | US
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Telephone | 580-216-6601
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Fax |
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Provider Business Mailing Address
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Address Line | 5524 STATE HIGHWAY 34C LOT 35
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City | WOODWARD
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State | OK
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Zip | 73801-6181
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Country | US
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Telephone | 580-216-6601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN D SUTTON
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Credential | MD
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Telephone | 580-216-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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