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General NPI Number Information
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NPI Number | 1972674042
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Entity Type | Organization
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Legal Business Name | DAVID F. SUTTON D.M.D.,P.A.
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 2813 S HIAWASSEE RD STE 105
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City | ORLANDO
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State | FL
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Zip | 32835-6689
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Country | US
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Telephone | 407-578-3093
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Fax | 407-521-9004
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Provider Business Mailing Address
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Address Line | 2813 S HIAWASSEE RD STE 105
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City | ORLANDO
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State | FL
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Zip | 32835-6689
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Country | US
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Telephone | 407-578-3093
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Fax | 407-521-9004
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID F SUTTON
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Credential | D.M.D.
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Telephone | 407-578-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN11167
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License Number State | FL
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