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General NPI Number Information
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NPI Number | 1578973301
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Entity Type | Individual
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Provider Name | MRS. CHRISTINE SUTTON
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Gender | Female
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 27255 23 MILE RD
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City | CHESTERFIELD
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State | MI
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Zip | 48051-2023
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Country | US
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Telephone | 586-598-1118
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Fax | 586-598-7462
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Provider Business Mailing Address
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Address Line | 3478 PIERCE DR
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City | SHELBY TWP
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State | MI
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Zip | 48316-1004
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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 |
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302411070
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License Number State | MI
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