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General NPI Number Information
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NPI Number | 1740326974
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Entity Type | Individual
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Provider Name | SONJA SUTTON CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 9395 CROWN CREST BLVD
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City | PARKER
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State | CO
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Zip | 80138-8573
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Country | US
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Telephone | 303-379-8630
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PROVIDENCE RD STE 101
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City | CHARLOTTE
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State | NC
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Zip | 28207-1437
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Country | US
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Telephone | 844-455-2097
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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 | 117262
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License Number State | NC
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