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General NPI Number Information
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NPI Number | 1265465538
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Entity Type | Organization
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Legal Business Name | JEFFREY L SUTTON
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 9742 VIA VERGA ST
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City | LAKE WORTH
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State | FL
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Zip | 33467-6161
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Country | US
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Telephone | 561-309-4852
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Fax | 561-304-0295
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Provider Business Mailing Address
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Address Line | 9742 VIA VERGA ST
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City | LAKE WORTH
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State | FL
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Zip | 33467-6161
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Country | US
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Telephone | 561-309-4852
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Fax | 561-304-0295
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY LEE SUTTON
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Credential | M.D.
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Telephone | 561-309-4852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME 38277
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License Number State | FL
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