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General NPI Number Information
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NPI Number | 1437136751
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Entity Type | Individual
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Provider Name | WILLIAM K SUTTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 529 MEDICAL DR
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City | LIVINGSTON
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State | TN
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Zip | 38570-1880
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Country | US
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Telephone | 931-823-9970
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Fax |
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Provider Business Mailing Address
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Address Line | 221 N CELIA AVE ATTN: DEBERA BARKER
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City | MUNCIE
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State | IN
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Zip | 47303-4609
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Country | US
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Telephone | 765-282-8905
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01052108
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 62124
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License Number State | TN
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