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General NPI Number Information
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NPI Number | 1649765058
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Entity Type | Individual
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Provider Name | FRANCES ELIZABETH SUTTON FNP
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 180 SOUTHWOOD DR
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City | CLINTON
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State | NC
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Zip | 28328-5002
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Country | US
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Telephone | 910-592-8165
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SOUTHWOOD DR
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City | CLINTON
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State | NC
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Zip | 28328-5002
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Country | US
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Telephone | 910-592-8165
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 5010662
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License Number State | NC
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