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General NPI Number Information
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NPI Number | 1508130519
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Entity Type | Individual
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Provider Name | CELIA-ELIZABETH O SUTTER LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 5311 KIRBY DR SUITE 204
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City | HOUSTON
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State | TX
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Zip | 77005-1364
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Country | US
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Telephone | 713-364-8756
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Fax | 888-475-5216
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Provider Business Mailing Address
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Address Line | 5311 KIRBY DR SUITE 204
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City | HOUSTON
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State | TX
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Zip | 77005-1364
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Country | US
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Telephone | 713-364-8756
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Fax | 888-475-5216
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 201497
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License Number State | TX
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