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NPI 1710544333

NPI 1710544333 : DANIEL SUTTON CRNA : SYLVA, NC

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General NPI Number Information
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    NPI Number           |    1710544333
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL SUTTON CRNA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/20/2019
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    Last Update Date     |    06/11/2019
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Provider Practice Location Address
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    Address Line         |    68 HOSPITAL RD 
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    City                 |    SYLVA
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    State                |    NC
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    Zip                  |    28779-2722
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    Country              |    US
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    Telephone            |    828-586-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2295 
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    City                 |    ASHEVILLE
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    State                |    NC
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    Zip                  |    28802-2295
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    Country              |    US
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    Telephone            |    828-398-5244
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    126189
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    License Number State |    NC
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