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General NPI Number Information
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NPI Number | 1518513126
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Entity Type | Organization
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Legal Business Name | SUTTON HEALTH ADVOCACY LLC
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Dates
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Enumeration Date | 08/11/2019
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Last Update Date | 08/11/2019
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Provider Practice Location Address
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Address Line | 116 WEHRING LN
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City | ARANSAS PASS
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State | TX
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Zip | 78336-3112
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Country | US
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Telephone | 361-739-8186
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Fax |
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Provider Business Mailing Address
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Address Line | 4875 GRAMERCY OAKS DR APT 305
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City | DALLAS
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State | TX
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Zip | 75287-5385
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. STACY SUTTON
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Credential | PT, DPT
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Telephone | 361-739-8186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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