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General NPI Number Information
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NPI Number | 1558332254
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Entity Type | Individual
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Provider Name | JENNIFER SUTTON MD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 1155 MILL ST RAD ONC ASSOC #18
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-4000
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Fax | 775-982-5639
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Provider Business Mailing Address
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Address Line | 780 KUENZLI ST STE 202
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City | RENO
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State | NV
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Zip | 89502-0837
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Country | US
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Telephone | 775-982-4590
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Fax | 775-982-4595
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 6598
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License Number State | NV
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