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General NPI Number Information
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NPI Number | 1528758802
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Entity Type | Individual
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Provider Name | JORDAN M SUTTON DPT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 307 N MAIN ST
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City | HUNTINGBURG
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State | IN
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Zip | 47542-1344
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Country | US
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Telephone | 812-683-5555
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Fax | 812-683-1111
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Provider Business Mailing Address
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Address Line | 418 W 3RD ST
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City | OWENSBORO
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State | KY
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Zip | 42301-0704
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Country | US
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Telephone | 270-926-8145
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Fax | 270-926-8147
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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 | 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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