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General NPI Number Information
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NPI Number | 1700237104
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Entity Type | Individual
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Provider Name | ANGELA SUTTON L.M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 04/12/2019
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Provider Practice Location Address
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Address Line | 1716 E 30TH AVE SUITE B
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City | HUTCHINSON
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State | KS
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Zip | 67502-1230
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Country | US
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Telephone | 316-213-3863
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Fax |
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Provider Business Mailing Address
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Address Line | 2080 29TH RD
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City | INMAN
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State | KS
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Zip | 67546-8622
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Country | US
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Telephone | 316-213-3863
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10076
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License Number State | KS
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