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General NPI Number Information
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NPI Number | 1750698643
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Entity Type | Organization
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Legal Business Name | SUTTON ADOLESCENT AND FAMILY COUNSELING
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 307 S SALEM ST
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City | APEX
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State | NC
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Zip | 27502-1845
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Country | US
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Telephone | 919-710-9929
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Fax |
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Provider Business Mailing Address
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Address Line | 5448 APEX PEAKWAY
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City | APEX
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State | NC
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Zip | 27502-3924
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Country | US
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Telephone | 919-710-9929
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN SUTTON
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Credential | LPC
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Telephone | 919-710-9929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7044
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License Number State | NC
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