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General NPI Number Information
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NPI Number | 1982405502
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Entity Type | Individual
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Provider Name | MELISSA ANN SUTTON BSN RN
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Gender | Female
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 9705 LOST PRAIRIE RD
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City | MARION
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State | MT
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Zip | 59925-9844
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Country | US
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Telephone | 406-407-5987
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Fax | 480-646-3513
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Provider Business Mailing Address
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Address Line | PO BOX 823
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City | KILA
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State | MT
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Zip | 59920-0823
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Country | US
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Telephone | 406-407-5987
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | NUR-RN-LIC-45743
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License Number State | MT
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