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General NPI Number Information
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NPI Number | 1679007330
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Entity Type | Individual
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Provider Name | SHELIA D SUTTON LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 301 E COLORADO BLVD STE 860
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City | PASADENA
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State | CA
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Zip | 91101-6151
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Country | US
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Telephone | 626-325-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 668 MIRA MONTE PL
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City | PASADENA
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State | CA
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Zip | 91101-2519
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Country | US
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Telephone | 626-379-2510
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 90885
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License Number State | CA
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