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General NPI Number Information
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NPI Number | 1730287392
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Entity Type | Organization
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Legal Business Name | KRISTI SUMPTER, DO, PA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/16/2012
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Provider Practice Location Address
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Address Line | 12827 JONES RD
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City | HOUSTON
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State | TX
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Zip | 77070-4605
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Country | US
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Telephone | 281-894-9990
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Fax | 281-894-9993
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Provider Business Mailing Address
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Address Line | 12827 JONES RD
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City | HOUSTON
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State | TX
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Zip | 77070-4605
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Country | US
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Telephone | 281-894-9990
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Fax | 281-894-9993
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KRISTI KAYE SUMPTER
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Credential | M.D.
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Telephone | 281-894-9990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L0630
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | L0630
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License Number State | TX
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