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General NPI Number Information
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NPI Number | 1275723199
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Entity Type | Individual
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Provider Name | SUTHEE RAPISUWON M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 11/23/2017
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Provider Practice Location Address
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Address Line | 110 IRVING ST NW SUITE C2149
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City | WASHINGTON
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State | DC
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Zip | 20010-3017
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Country | US
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Telephone | 202-687-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 RESERVOIR RD NW DEPARTMENT OF HEMATOLOGY/ONCOLOGY
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 202-444-7094
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Fax | 202-444-8829
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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 | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | MD040445
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD040445
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License Number State | DC
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