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General NPI Number Information
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NPI Number | 1003208984
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Entity Type | Organization
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Legal Business Name | SAUTER ORTHODONTICS
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 1075 E PACIFIC COAST HIGHWAY SUITE D
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City | LONG BEACH
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State | CA
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Zip | 90806
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Country | US
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Telephone | 714-264-3998
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Fax | 909-985-6506
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Provider Business Mailing Address
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Address Line | 1075 E PACIFIC COAST HWY SUITE D
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City | LONG BEACH
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State | CA
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Zip | 90806-5089
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Country | US
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Telephone | 714-264-3998
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Fax | 909-985-6506
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. JOHN SAUTER
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Credential |
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Telephone | 714-264-3998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20456
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License Number State | CA
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